Active NPI
Bevin Shannon Pizzo, OPTICAN
- Optician
- Newburgh, NY
National Provider Identifier
1467629899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 004141-1
- Practice address
- 1401 Route 300
Suite 1054
Newburgh, NY 12550-2990 - Phone
- (845) 566-9179
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 004141-1 | NY | Primary |
Addresses
Primary practice location
1401 Route 300
Suite 1054
Newburgh, NY 12550-2990
Mailing address
1401 Route 300
Suite 1054
Newburgh, NY 12550-2990
Phone (845) 566-9179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004141-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Quest | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1467629899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 ROUTE 300",
"address_2": "SUITE 1054",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502990",
"telephone_number": "845-566-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ROUTE 300",
"address_2": "SUITE 1054",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125502990",
"telephone_number": "845-566-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZO",
"first_name": "BEVIN",
"middle_name": "SHANNON",
"credential": "OPTICAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "004141-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.