Organization Active NPI

Kathleen E. Grace LLC

  • Eyewear Supplier
  • Jamestown, NY
National Provider Identifier
1336790880
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KATHLEEN E. GRACE LLC
Doing business as
Chautauqua Eyecare
Practice address
548 W 3Rd St
Jamestown, NY 14701-4733
Phone
(716) 488-1147
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Alyssa Canfield
Title
Optician
Phone
(716) 488-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

548 W 3Rd St
Jamestown, NY 14701-4733

Mailing address

548 W 3Rd St
Jamestown, NY 14701-4733
Phone (716) 488-1147

Other names 1

  • Chautauqua Eyecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1336790880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN E. GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "716-488-1147"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.