Organization Active NPI

The Spec Shop

  • Eyewear Supplier
  • Buffalo, NY
National Provider Identifier
1184806853
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
002851 Issued in NY
Legal business name
THE SPEC SHOP
Practice address
1176 Main St
Buffalo, NY 14209-2102
Phone
(716) 881-7926
Fax
(716) 881-4349
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mr. Arnold Irwin Edelman, OPTICIAN
Title
Owner
Phone
(716) 881-7926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 002851 NY Primary

Addresses

Primary practice location

1176 Main St
Buffalo, NY 14209-2102

Mailing address

604 Cottonwood Dr
Williamsville, NY 14221-1356
Phone (716) 688-6924

Other names 1

  • ARNOLD I EDELMAN Doing business as

National Provider Directory

National Provider Directory

Locations

1176 Main St
Buffalo, NY 14209
Phone (716) 881-7900

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1184806853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 COTTONWOOD DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211356",
            "telephone_number": "716-688-6924",
            "fax_number": "716-688-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7926",
            "fax_number": "716-881-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEC SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-881-7926",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "002851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARNOLD I EDELMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.