Individual provider Active NPI

Erik Leao

  • Optician
  • Utica, NY
National Provider Identifier
1215479696
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008660 Issued in NY
Practice address
10 Business Park CT
Utica, NY 13502-6308
Phone
(315) 732-2020
Fax
(315) 732-0517
NPI assigned
Nov 16, 2016
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 008660 NY Primary

Addresses

Primary practice location

10 Business Park CT
Utica, NY 13502-6308

Mailing address

10 Business Park CT
Utica, NY 13502-6308
Phone (315) 732-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008660NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1215479696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026308",
            "telephone_number": "315-732-2020",
            "fax_number": "315-732-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026308",
            "telephone_number": "315-732-2020",
            "fax_number": "315-732-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAO",
        "first_name": "ERIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.