Activerxeyewear
Organization Active NPI Optician · Troy, NY
NPI 1407912751 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1407912751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 7230-1 (NY)
- Legal business name
- ACTIVERXEYEWEAR
- Practice address
- 830 Hoosick Rd
Troy, NY 12180-6665 - Phone
- (518) 274-5559
- Fax
- (518) 677-1129
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Coleen Kern, OPTICIAN
- Title
- Owner Optician
- Phone
- (518) 785-4674
Practitioners 1
-
Coleen Kern, OPTICIAN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 7230-1 | NY | Yes |
Addresses
Primary practice location
830 Hoosick Rd
Troy, NY 12180-6665
Mailing address
9 Fiet Ave
Troy, NY 12180-6715
Phone (518) 785-4674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7230NY | Other | NY | EYEMED VISION CARE |
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.