NPIMap

Organization Active NPI

Leener Corp.

Doing business as sterling optical 128

  • Optometrist
  • Cicero, NY
National Provider Identifier
1386664795
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003420-1 Issued in NY
Legal business name
LEENER CORP.
Doing business as
sterling optical 128
Practice address
7903 Brewerton Rd
West Marine Plaza
Cicero, NY 13039-9531
Phone
(315) 699-1700
Fax
(315) 699-1707
NPI assigned
Jul 20, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Carl Francis Azzoto, OD
Title
Optometrist
Phone
(315) 455-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003420-1 NY Primary

Addresses

Primary practice location

7903 Brewerton Rd
West Marine Plaza
Cicero, NY 13039-9531

Mailing address

7903 Brewerton Rd
West Marine Plaza
Cicero, NY 13039-9531
Phone (315) 699-1700

Other identifiers 1

IdentifierTypeStateIssuer
01808520MedicaidNY

Other names 1

  • sterling optical 128 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1386664795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 BREWERTON RD",
            "address_2": "WEST MARINE PLAZA",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399531",
            "telephone_number": "315-699-1700",
            "fax_number": "315-699-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 BREWERTON RD",
            "address_2": "WEST MARINE PLAZA",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399531",
            "telephone_number": "315-699-1700",
            "fax_number": "315-699-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEENER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "AZZOTO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-455-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003420-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01808520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sterling optical 128",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.