Western New York Medical Practice, P.C.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

WESTERN NEW YORK MEDICAL PRACTICE, P.C.

Doing business as

Geneseo Family Eye Care

Practice address

4384 Lakeville Rd
Geneseo, NY 14454-9761

Phone

(585) 243-2020

NPI assigned

May 13, 2021

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

WESTERN NEW YORK MEDICAL PRACTICE, P.C.As reported in NPPES

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

Authorized official

Name

Nichole S Holder

Title

Director, Payer Enrollment

Phone

(585) 922-0293

Specialties & licenses 2

Addresses

Other names 1

• Geneseo Family Eye Care Doing business as

Part of

Western New York Medical Practice PC

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1295309466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 LAKEVILLE RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549761",
            "telephone_number": "585-243-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 LAKEVILLE RD",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549761",
            "telephone_number": "585-243-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR, PAYER ENROLLMENT",
        "authorized_official_telephone_number": "585-922-0293"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geneseo Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geneseo Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karin Marie Wallin, COTA
• Thomas Julian Wright Walters, MD
• Janelle A Walton, PA
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #026)
• Wendel Vision Care PLLC
• Western New York Medical Supply Inc
• Tammy Lynn Westfall-Cox, SLP
• Danae Elyce Wetherbee, DPT
• Katharine Bette Wiener, REGISTERED NURSE
• Stephen R Wiener, DMD

• Optician in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.