Organization Active NPI

Ladota Optometry, PC

  • Optometrist
  • Tonawanda, NY
National Provider Identifier
1356578983
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006986 Issued in NY
Legal business name
LADOTA OPTOMETRY, PC
Practice address
448 Delaware St
Tonawanda, NY 14150-3944
Phone
(716) 695-2024
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Anthony P Ladota, ODNPI 1801826631
Title
Doctor of Optometry
Phone
(716) 531-1283

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
Optometrist 152W00000X TUV006986 NY Primary

Addresses

Primary practice location

448 Delaware St
Tonawanda, NY 14150-3944

Mailing address

245 Woodridge Ave
Cheektowaga, NY 14225-1547
Phone (716) 531-1283

Other identifiers 3

IdentifierTypeStateIssuer
1801826631OtherNYINDEPENDENT HEALTH
1801826631OtherNYBCBS
1801826631OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190110002233 NY Part B Supplier - Clinic/Group Practice 4183960297 Receives reassigned benefits from 1 practitioner
Practice locations: Tonawanda, NY

National Provider Directory

National Provider Directory
Tax ID family
Ladota Optometry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1356578983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WOODRIDGE AVE",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251547",
            "telephone_number": "716-531-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503944",
            "telephone_number": "716-695-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADOTA OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "LADOTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "716-531-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1801826631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1801826631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "1801826631",
            "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 Jun 22, 2009; 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.