Individual provider Active NPI

Mary O'Neil, LDO

  • Optician
  • Oneida, NY
National Provider Identifier
1366201212
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
2024 Genesee St Ste 1
Oneida, NY 13421-2654
Phone
(315) 361-1037
Fax
(315) 361-1933
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2024 Genesee St Ste 1
Oneida, NY 13421-2654

Mailing address

2024 Genesee St Ste 1
Oneida, NY 13421-2654
Phone (315) 361-1037

Other practice location 1

6582 Sholtz Rd
Verona, NY 13478-2711
Phone (315) 361-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1366201212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GENESEE ST STE 1",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212654",
            "telephone_number": "315-361-1037",
            "fax_number": "315-361-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 GENESEE ST STE 1",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212654",
            "telephone_number": "315-361-1037",
            "fax_number": "315-361-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6582 Sholtz Rd",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NY",
            "postal_code": "134782711",
            "country_code": "US",
            "telephone_number": "315-361-1037",
            "fax_number": "315-361-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.