Active NPI
Karen Ridgeway
- Optician
- Liverpool, NY
National Provider Identifier
1215755673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009549
- Practice address
- 8770 Dell Center Dr
Liverpool, NY 13090-8700 - Phone
- (315) 622-9260
- Fax
- (315) 652-5320
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009549 | NY | Primary |
Addresses
Primary practice location
8770 Dell Center Dr
Liverpool, NY 13090-8700
Mailing address
8770 Dell Center Dr
Liverpool, NY 13090-1375
Phone (315) 622-9260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009549 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1215755673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8770 DELL CENTER DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901375",
"telephone_number": "315-622-9260",
"fax_number": "315-652-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8770 DELL CENTER DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130908700",
"telephone_number": "315-622-9260",
"fax_number": "315-652-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGEWAY",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.