Oneida Optometric, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ONEIDA OPTOMETRIC, PLLC

Practice address

581 Main St
Oneida, NY 13421-2452

Phone

(315) 363-6210

Fax

(315) 361-4942

NPI assigned

May 27, 2016

Last updated

Apr 5, 2022By 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

Dr. Justin A Smith, ODNPI 1184076234

Title

Sole Owner

Phone

(315) 363-6210

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

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.

• Justin A Smith, O.D.

  • Optometrist
  • Oneida, NY
  • NPI 1184076234
  Medicare reassignment NPD Authorized official
• Brandi S. Coleman, OD

  • Optometrist
  • Mexico, NY
  • NPI 1932275898
  Medicare reassignment NPD
• Ronald H Poulin, O.D.

  • Optometrist
  • Camden, NY
  • NPI 1982694832
  Medicare reassignment NPD

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1407204761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212452",
            "telephone_number": "315-363-6210",
            "fax_number": "315-361-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212452",
            "telephone_number": "315-363-6210",
            "fax_number": "315-361-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA OPTOMETRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "315-363-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oneida Medical Services, PLLC
• Oneida Orthopaedic Associates PC
• Oneida Pathology Associates, LLP
• Oneida Pediatric Group PC
• Oneida Pharmacy LLC (The Medicine Shoppe #1341)
• Oneida Pharmacy LLC

• Optometrist in Oneida, NY
• Providers in Oneida, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.