Johnson & Amabile OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

007401 Issued in NY

Legal business name

JOHNSON & AMABILE OD, PLLC

Practice address

2064 Seneca St
Buffalo, NY 14210-2343

Phone

(716) 822-1515

Fax

(716) 393-3839

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Alyse Amabile, O.D.NPI 1811125180

Title

Optometrist

Phone

(716) 822-1515

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Alyse Amabile, O.D.

  • Optometrist
  • Buffalo, NY
  • NPI 1811125180
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy Micah Johnson, O.D.

  • Optometrist
  • Amherst, NY
  • NPI 1790019008
  Medicare reassignment Care Compare group NPD
• Charles Frederick Tiexeira, LDO

  • Optician
  • Kenmore, NY
  • NPI 1366614133
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1194071290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOX TRCE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863072",
            "telephone_number": "716-435-4010",
            "fax_number": "716-393-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102343",
            "telephone_number": "716-822-1515",
            "fax_number": "716-393-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4133 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140201253",
            "country_code": "US",
            "telephone_number": "585-345-1061",
            "fax_number": "716-393-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2864 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172731",
            "country_code": "US",
            "telephone_number": "716-874-4119",
            "fax_number": "716-393-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140431027",
            "country_code": "US",
            "telephone_number": "716-683-5566",
            "fax_number": "716-383-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3290 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261422",
            "country_code": "US",
            "telephone_number": "716-691-1192",
            "fax_number": "716-393-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON & AMABILE OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "AMABILE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ALYSE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "716-822-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007401",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03531064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Aquino
• John M Wadsworth MD PC
• Ann-Marie John, RN
• Dallen Lamar Johns, CRNA
• Shannon Nicole Johns, CD (DONA)
• Courtney Johnson-Gonzalez, MD
• Ashley Johnson
• Camille L Johnson, RN
• Catherine Jean Johnson
• Charisse Johnson

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.