NPIMap

Organization Active NPI

Mid-City Opticians

  • Eyewear Supplier
  • North Tonawanda, NY
National Provider Identifier
1225168990
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3847 Issued in NY
Legal business name
MID-CITY OPTICIANS
Practice address
968 Payne Ave
North Tonawanda, NY 14120-3234
Phone
(716) 692-5480
Fax
(716) 692-4010
NPI assigned
Mar 6, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Mr. Ross H Folmsbee, OPTICIANNPI 1659601722
Title
Optician
Phone
(716) 692-5480

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 3847 NY Primary
Contact Lens Fitter 156FC0801X C003847 NY
Optician 156FX1800X C003847 NY

Addresses

Primary practice location

968 Payne Ave
North Tonawanda, NY 14120-3234

Mailing address

968 Payne Ave
North Tonawanda, NY 14120-3234
Phone (716) 692-5480

Other identifiers 2

IdentifierTypeStateIssuer
NY3847OtherNYEYEMED
01759728MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053557 NY DME Supplier - Optician 5597886440 Practice locations: North Tonawanda, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mid-City Opticians968 Payne Ave, North Tonawanda, NY 14120-3234(716) 692-5480 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

968 Payne Ave
North Tonawanda, NY 14120
Phone (716) 692-5480

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1225168990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203234",
            "telephone_number": "716-692-5480",
            "fax_number": "716-692-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203234",
            "telephone_number": "716-692-5480",
            "fax_number": "716-692-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "FOLMSBEE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "716-692-5480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "3847",
            "primary": true
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C003847",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C003847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY3847",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759728",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.