Organization Active NPI

Council Opticians of Tonawanda Inc

  • Optometrist
  • Tonawanda, NY
National Provider Identifier
1346464351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NYTUV003292 Issued in NY
Legal business name
COUNCIL OPTICIANS OF TONAWANDA INC
Practice address
4244 Delaware Avenue
Tonawanda, NY 14150-6120
Phone
(716) 695-3733
Fax
(716) 695-0112
NPI assigned
Apr 12, 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
Dr. Sharon Lynn Schutz, OD OPTOMETRISTNPI 1306060322
Title
President
Phone
(716) 695-3733

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X NYTUV003292 NY Primary

Addresses

Primary practice location

4244 Delaware Avenue
Tonawanda, NY 14150-6120

Mailing address

4244 Delaware Avenue
Tonawanda, NY 14150-6120
Phone (716) 695-3733

Other identifiers 2

IdentifierTypeStateIssuer
TUV003292OtherNYLICENSE #
00634491MedicaidNY

National Provider Directory

National Provider Directory

Locations

4244 Delaware Ave
Tonawanda, NY 14150
Phone (716) 695-3733

Practitioners & affiliated clinicians

Practitioners 1

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346464351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 DELAWARE AVENUE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506120",
            "telephone_number": "716-695-3733",
            "fax_number": "716-695-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 DELAWARE AVENUE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506120",
            "telephone_number": "716-695-3733",
            "fax_number": "716-695-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL OPTICIANS OF TONAWANDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHUTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-695-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NYTUV003292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "TUV003292",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00634491",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, 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.