Davison Road Optical, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAVISON ROAD OPTICAL, INC.

Practice address

500 Davison Rd
Lockport, NY 14094-4021

Phone

(716) 434-8063

Fax

(716) 434-2845

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Genevieve L Snyder

Title

Administrator

Phone

(716) 434-8063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Davison Road Optical, Inc.

  dba Newfane Family Eyecare

  • Optometrist
  • Newfane, NY
  • NPI 1508989211

  O20040528000450

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Gahagan, O.D.

  • Optometrist
  • Lockport, NY
  • NPI 1124431739
  Medicare reassignment Care Compare group NPD
• Duane Snyder, OD

  • Optometrist
  • Lockport, NY
  • NPI 1346242955
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326161035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944021",
            "telephone_number": "716-434-8063",
            "fax_number": "716-434-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944021",
            "telephone_number": "716-434-8063",
            "fax_number": "716-434-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISON ROAD OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-434-8063"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia J Danaher, M.D.
• Elizabeth Ann Dannebrock, O.D.
• Lisa Anne Dannebrock
• David P. Nichols, M.D., P.C.
• Davison Road Optical Inc (Newfane Family Eyecare)
• Juan De Rosas, MD
• Eric Edward Dean, RPAC
• Lauren Dechambeau, RDN, CDN, CLC
• Timothy Deeks, LCSW
• Paul S. Delange, O.D.

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

• 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.
• 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.