Active NPI
Bruce J Rogers
Doing business as Potsdam Optical Center
- Optician
- Potsdam, NY
National Provider Identifier
1386703296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0055651
- Legal business name
- BRUCE J ROGERS
- Doing business as
- Potsdam Optical Center
- Practice address
- 22 Depot St
Market Squre Mall Suite Z
Potsdam, NY 13676-1140 - Phone
- (315) 265-2675
- Fax
- (315) 265-3899
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce J Rogers, OPTICIAN OWNER
- Title
- Optician Owner
- Phone
- (315) 265-2675
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 0055651 | NY | Primary |
| Eyewear Supplier | 332H00000X | NY |
Addresses
Primary practice location
22 Depot St
Market Squre Mall Suite Z
Potsdam, NY 13676-1140
Mailing address
22 Depot St.
Market Squre Mall Suite Z
Potsdam, NY 13676
Phone (315) 265-2675
Other names 1
- Potsdam Optical Center
National Provider Directory
National Provider DirectoryLocations
22 Depot St
Stop Z
Potsdam, NY 13676
Phone (315) 265-2675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1386703296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 DEPOT ST.",
"address_2": "MARKET SQURE MALL SUITE Z",
"city": "POTSDAM",
"state": "NY",
"postal_code": "13676",
"telephone_number": "315-265-2675",
"fax_number": "315-265-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 DEPOT ST",
"address_2": "MARKET SQURE MALL SUITE Z",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761140",
"telephone_number": "315-265-2675",
"fax_number": "315-265-3899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE J ROGERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPTICIAN OWNER",
"authorized_official_telephone_number": "315-265-2675",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN OWNER"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "0055651",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Potsdam Optical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Potsdam, NY
- Brent S. Knight - Knight & Associates Physical Therapy (Knight & Associates Physical Therapists)
- Phillip Moses Bridgman, M.D.
- William Bronner VI, PA-C
- Aundrea Bronson
- Elizabeth Browning, RN
- Linda Helene Buchanan, R,D,
- Lisa Buchanan, SPEECH-LANGUAGE PATH
- Buffalo Vamc
- Shawn T Burns, D.C.
- Kahlia Burruss, MS, LMHC-P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.