Active NPI
Cinnamon A McLyman, ABOC
- Optician
- Cortland, NY
National Provider Identifier
1295821148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 006144
- Practice address
- 1160 Tompkins St
Cortland, NY 13045-3578 - Phone
- (607) 753-7528
- Fax
- (607) 756-8163
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 006144 | NY | Primary |
Addresses
Primary practice location
1160 Tompkins St
Cortland, NY 13045-3578
Mailing address
1160 Tompkins St
Cortland, NY 13045-3578
Phone (607) 753-7528
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006144 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortland Ophthalmological Care, PLLC | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1295821148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 TOMPKINS ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453578",
"telephone_number": "607-753-7528",
"fax_number": "607-756-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 TOMPKINS ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453578",
"telephone_number": "607-753-7528",
"fax_number": "607-756-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLYMAN",
"first_name": "CINNAMON",
"middle_name": "A",
"credential": "ABOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "006144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.