Organization Active NPI

Gayne Optical

  • Optician
  • Schenectady, NY
National Provider Identifier
1184872038
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008203-1 Issued in NY
Legal business name
GAYNE OPTICAL
Practice address
1462 Erie Blvd Ste A204
Schenectady, NY 12305-1039
Phone
(518) 370-7040
Fax
(518) 370-4030
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Heather Marie GayneNPI 1134231624
Title
Owner
Phone
(518) 370-7040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 008203-1 NY Primary

Addresses

Primary practice location

1462 Erie Blvd Ste A204
Schenectady, NY 12305-1039

Mailing address

1462 Erie Blvd Ste A204
Schenectady, NY 12305-1039
Phone (518) 370-7040

Other identifiers 1

IdentifierTypeStateIssuer
02745146MedicaidNY

National Provider Directory

National Provider Directory

Locations

1462 Erie Blvd
Ste A204
Schenectady, NY 12305
Phone (518) 370-7040

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1184872038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD STE A204",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051039",
            "telephone_number": "518-370-7040",
            "fax_number": "518-370-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD STE A204",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051039",
            "telephone_number": "518-370-7040",
            "fax_number": "518-370-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYNE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GAYNE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-370-7040"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008203-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02745146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.