Organization Active NPI

Larc Enterprises

  • Optician
  • Auburn, NY
National Provider Identifier
1316152929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5203-1 Issued in NY
Legal business name
LARC ENTERPRISES
Doing business as
Sterling Optical
Practice address
217 Grant Ave
Auburn, NY 13021-1447
Phone
(315) 255-2279
Fax
(315) 255-1595
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Carroll Sangesland, OPHTHALMIC DISPENSER
Title
President
Phone
(315) 255-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 5203-1 NY Primary

Addresses

Primary practice location

217 Grant Ave
Auburn, NY 13021-1447

Mailing address

217 Grant Ave
Auburn, NY 13021-1447
Phone (315) 255-2279

Other identifiers 1

IdentifierTypeStateIssuer
01668304MedicaidNY

Other names 1

  • Sterling Optical Doing business as

National Provider Directory

National Provider Directory

Locations

217 Grant Ave
Auburn, NY 13021
Phone (315) 255-2279

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316152929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211447",
            "telephone_number": "315-255-2279",
            "fax_number": "315-255-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211447",
            "telephone_number": "315-255-2279",
            "fax_number": "315-255-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARC ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGESLAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-255-2279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPHTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "5203-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01668304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.