Southern Tier Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006826 Issued in NY

Legal business name

SOUTHERN TIER OPTOMETRY PLLC

Practice address

779 Fairmount Ave
Jamestown, NY 14701-2608

Phone

(716) 969-1942

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kara Irene Gibbs, OD

Title

Owner

Phone

(716) 969-1942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1245500685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012608",
            "telephone_number": "716-969-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012608",
            "telephone_number": "716-969-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-969-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cain Forest Sonney, DPT
• Sevak Soukiazian, MD
• Olivia South
• Southern Tier Home Infusion Inc (Pharmacy Innovations)
• Southern Tier Optometric Center Inc (Council Optometric Center)
• Southern Tier Optometry Vision Therapy
• Southern Tier Pediatrics Practice, P.C.
• Southside Pharmacy Inc (Southside Pharmacy)
• Southwestern Central School District
• Sidney Carol Spangler, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.