Organization Active NPI

Ellicottville Eye Care, PC

  • Optometrist
  • Ellicottville, NY
National Provider Identifier
1265667380
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005139 Issued in NY
Legal business name
ELLICOTTVILLE EYE CARE, PC
Practice address
2 Hughey Aly
Ellicottville, NY 14731-7002
Phone
(716) 699-5293
NPI assigned
May 19, 2009
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dr. Philip SarikeyNPI 1841295292
Title
OD
Phone
(716) 699-5293

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005139 NY Primary

Addresses

Primary practice location

2 Hughey Aly
Ellicottville, NY 14731-7002

Mailing address

2 Hughey Aly
PO Box 1340
Ellicottville, NY 14731
Phone (716) 699-5293

Other names 1

  • Philip A. Ssarikey, OD, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090522000298 NY Part B Supplier - Clinic/Group Practice 8628127560 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicottville, NY

National Provider Directory

National Provider Directory

Locations

6133 Route 219 S
Ste 1002
Ellicottville, NY 14731
Phone (716) 699-2312

Practitioners & affiliated clinicians

Practitioners 3

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1265667380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUGHEY ALY",
            "address_2": "PO BOX 1340",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "14731",
            "telephone_number": "716-699-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUGHEY ALY",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147317002",
            "telephone_number": "716-699-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTTVILLE EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "SARIKEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "716-699-5293",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip A. Ssarikey, OD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ellicottville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.