Organization Active NPI

North Country Vision Center

  • Optician
  • Queensbury, NY
National Provider Identifier
1386926954
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
NORTH COUNTRY VISION CENTER
Practice address
118 Quaker Rd Ste 6
Queensbury, NY 12804-1755
Phone
(518) 338-3080
Fax
(518) 338-3081
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mrs. Michelle Garrand Bureau
Title
Optician Owner
Phone
(518) 338-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

118 Quaker Rd Ste 6
Queensbury, NY 12804-1755

Mailing address

118 Quaker Rd Ste 6
Queensbury, NY 12804-1755
Phone (518) 338-3080

National Provider Directory

National Provider Directory

Locations

118 Quaker Rd
Ste 6
Queensbury, NY 12804
Phone (518) 338-3080

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": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1386926954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 QUAKER RD STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041755",
            "telephone_number": "518-338-3080",
            "fax_number": "518-338-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 QUAKER RD STE 6",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041755",
            "telephone_number": "518-338-3080",
            "fax_number": "518-338-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BUREAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "GARRAND",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "518-338-3080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.