Trumansburg Optical PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV-005362-1 Issued in NY

Legal business name

TRUMANSBURG OPTICAL PC

Practice address

11 E Main St
Trumansburg, NY 14886-9581

Phone

(607) 387-7327

Fax

(607) 387-3500

NPI assigned

Mar 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neil Henninger, O.D.NPI 1174521579

Title

President

Phone

(607) 387-7327

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil F. Henninger, O.D.

  • Optometrist
  • Trumansburg, NY
  • NPI 1174521579
  Medicare reassignment Care Compare group Authorized official
• Samantha Scala Goodenough, OD

  • Optometrist
  • New York, NY
  • NPI 1841771987
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1184755837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E MAIN ST",
            "address_2": "P.O. BOX 474",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869581",
            "telephone_number": "607-387-7327",
            "fax_number": "607-387-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869581",
            "telephone_number": "607-387-7327",
            "fax_number": "607-387-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMANSBURG OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "HENNINGER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-387-7327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV-005362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trumansburg Central School District
• Trumansburg Central School District
• Trumansburg Family Dentistry
• Trumansburg Family Dentistry
• Trumansburg Medicine PLLC
• Juliann R Vadney, DPT
• Cole Vermillera
• Village of Trumansburg EMS
• Adam Wagner, DPT
• Jenna Bergman Wentzel, PT, DPT, LMT

• Eyewear Supplier in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.

Verify at the official NPI Registry.