Organization Active NPI

Preston Lowe Apple Optical

  • Optometrist
  • Watertown, NY
National Provider Identifier
1477610301
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003656 Issued in NY
Legal business name
PRESTON LOWE APPLE OPTICAL
Practice address
1622 State St
Watertown, NY 13601-3520
Phone
(315) 788-1515
Fax
(315) 779-9577
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Susan Lowe
Title
Bookkeeper
Phone
(315) 686-3140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 003656 NY Primary

Addresses

Primary practice location

1622 State St
Watertown, NY 13601-3520

Mailing address

1622 State St
Watertown, NY 13601-3520
Phone (315) 788-1515

National Provider Directory

National Provider Directory

Locations

1622 State St
Watertown, NY 13601
Phone (315) 788-1515

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1477610301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013520",
            "telephone_number": "315-788-1515",
            "fax_number": "315-779-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013520",
            "telephone_number": "315-788-1515",
            "fax_number": "315-779-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON LOWE APPLE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "315-686-3140"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.