Bethany Pittman, OPTICIAN
Individual provider Active NPI Optician · Colonie, NY
NPI 1346866027 · NPPES record last updated Jun 18, 2020
Key facts
- NPI
- 1346866027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 65 Wolf Rd Ste 105
Colonie, NY 12205-2621 - Phone
- (518) 704-6580
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyemart Express LLC | Current |
Accepting new patients |
Locations
65 Wolf Rd
Ste 105
Colonie, NY 12205
Phone (518) 704-6580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
65 Wolf Rd Ste 105
Colonie, NY 12205-2621
Mailing address
65 Wolf Rd Ste 105
Colonie, NY 12205-2621
Phone (518) 704-6580
Other providers in Colonie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.