Ladota Optometry, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

TUV006986 Issued in NY

Legal business name

LADOTA OPTOMETRY, PC

Practice address

363 Delaware St
Tonawanda, NY 14150-3951

Phone

(716) 695-2025

NPI assigned

May 1, 2015

Last updated

May 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laurie E Keyes

Title

Assistant

Phone

(716) 381-0698

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ladota Optometry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ladota Optometry, PC

  • Optometrist
  • Tonawanda, NY
  • NPI 1356578983
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1396122032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503951",
            "telephone_number": "716-695-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503951",
            "telephone_number": "716-695-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADOTA OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "716-381-0698",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "TUV006986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02884724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Kupczyk, MSW
• Kimberlee Lynn Kuzara, MSED CCC L-SLP TSHH
• Joelle Labert, LCSW
• Julie Labrecque
• Ladota Optometry, PC
• Annmarie M Lally, F-NP
• Jillian Marlee Lamb
• Shirley Ann Lands, LPN
• Wendy V Lane, LMT MSW
• Ilona Victoria Lanning, RN

• Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.