Oneonta Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ONEONTA OPTICAL LLC

Practice address

209 Main St
Oneonta, NY 13820-2502

Phone

(607) 433-2360

Fax

(607) 433-2824

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Rachel HansenNPI 1891860631

Title

Owner

Phone

(607) 433-2360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Wilson Hansen, OD

  • Optometrist
  • Oneonta, NY
  • NPI 1891860631
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1295342475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202502",
            "telephone_number": "607-433-2360",
            "fax_number": "607-433-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202502",
            "telephone_number": "607-433-2360",
            "fax_number": "607-433-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEONTA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-433-2360"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Christina O'Dell, LMSW
• Carolyn O'Reilly, RN
• Godwin Odumah
• Oneonta City School District
• Oneonta Internal Medicine, PC
• Opportunities for Otsego, Inc
• Ornc LLC
• Ornh, Inc.
• Otsego County Chapter, Nysarc, Inc.
• Otsego County Chapter, Nysarc, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.