Organization Active NPI

NK Optical, LLC

  • Ophthalmology Physician
  • Cheektowaga, NY
National Provider Identifier
1316065246
Registry record updated Oct 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NK OPTICAL, LLC
Practice address
4245 Union Rd
Suite 105
Cheektowaga, NY 14225-5040
Phone
(716) 634-2678
Fax
(716) 634-2679
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2008

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

Authorized official

Name
Dr. Sandra L Everett, M.D.NPI 1174634976
Title
Owner
Phone
(716) 634-2678

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4245 Union Rd
Suite 105
Cheektowaga, NY 14225-5040

Mailing address

4245 Union Rd
Cheektowaga, NY 14225-5040
Phone (716) 634-2678

National Provider Directory

National Provider Directory

Locations

4245 Union Rd
Cheektowaga, NY 14225
Phone (716) 634-2678

4245 Union Rd
Ste 105
Cheektowaga, NY 14225
Phone (716) 634-2678

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223078400000",
    "number": "1316065246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255040",
            "telephone_number": "716-634-2678",
            "fax_number": "716-634-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 UNION RD",
            "address_2": "SUITE 105",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255040",
            "telephone_number": "716-634-2678",
            "fax_number": "716-634-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-10-04",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-634-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.