Active NPI
Charlene Y To, O.D.
- Optometrist
- Cheektowaga, NY
National Provider Identifier
1225275100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7343-1
- Practice address
- 2000 Walden Ave
Walden Galleria
Cheektowaga, NY 14225-5454 - Phone
- (716) 684-3960
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7343-1 | NY | Primary |
Addresses
Primary practice location
2000 Walden Ave
Walden Galleria
Cheektowaga, NY 14225-5454
Mailing address
1724 Northwood Dr
Williamsville, NY 14221-3858
Phone (716) 684-3996
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7343-1 | NY | MD | Optometrist |
| 007343 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1225275100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 NORTHWOOD DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213858",
"telephone_number": "716-684-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WALDEN AVE",
"address_2": "WALDEN GALLERIA",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142255454",
"telephone_number": "716-684-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "CHARLENE",
"middle_name": "Y",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "7343-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.