Activerxeyewear

Primary specialty

OpticianTaxonomy code 156FX1800X

License

7230-1 Issued in 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

Last updated

Dec 22, 2010By 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. Coleen Kern, OPTICIANNPI 1538305693

Title

Owner Optician

Phone

(518) 785-4674

Specialties & licenses 1

Addresses

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.

• Coleen Kern, OPTICIAN

  • Optician
  • Troy, NY
  • NPI 1538305693
  NPD (past) Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1407912751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FIET AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806715",
            "telephone_number": "518-785-4674",
            "fax_number": "518-785-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806665",
            "telephone_number": "518-274-5559",
            "fax_number": "518-677-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVERXEYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "518-785-4674",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "7230-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Troy, NY
• Providers in Troy, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.