Active NPI
Southern Tier Assn F/T Visually Impaired Inc
- Low Vision Rehabilitation Optometrist
- Elmira, NY
National Provider Identifier
1184723868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- Legal business name
- SOUTHERN TIER ASSN F/T VISUALLY IMPAIRED INC
- Doing business as
- A P Darling Low Vision Center
- Practice address
- 719 Lake Street
Elmira, NY 14901 - Phone
- (607) 734-1554
- Fax
- (907) 734-9467
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy K Hertlein
- Title
- Executive Director
- Phone
- (607) 734-1554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | Primary |
Addresses
Primary practice location
719 Lake Street
Elmira, NY 14901
Mailing address
719 Lake Street
Elmira, NY 14901
Phone (607) 734-1554
Other names 1
- A P Darling Low Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 E 1st St
Corning, NY 14830
Phone (607) 734-1554
1 Park Ln
Corning, NY 14830
Phone (607) 734-1554
719 Lake St
Elmira, NY 14901
Phone (607) 734-1554
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Watkins Glen, NY
- NPI 1255327854
-
- Optometrist
- Elmira, NY
- NPI 1922073071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184723868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 LAKE STREET",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14901",
"telephone_number": "607-734-1554",
"fax_number": "907-734-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 LAKE STREET",
"city": "ELMIRA",
"state": "NY",
"postal_code": "14901",
"telephone_number": "607-734-1554",
"fax_number": "907-734-9467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN TIER ASSN F/T VISUALLY IMPAIRED INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HERTLEIN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "607-734-1554"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A P Darling Low Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.