Organization Active NPI

Bruce J Rogers

Doing business as Potsdam Optical Center

  • Optician
  • Potsdam, NY
National Provider Identifier
1386703296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0055651 Issued in NY
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.