Active NPI
Mary O'Neil, LDO
- Optician
- Oneida, NY
National Provider Identifier
1366201212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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.