Active NPI
Council Opticians of Tonawanda Inc
- Optometrist
- Tonawanda, NY
National Provider Identifier
1346464351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NYTUV003292
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharon Lynn Schutz, OD OPTOMETRIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TUV003292 | Other | NY | LICENSE # |
| 00634491 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Tonawanda, NY
- NPI 1306060322
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.