Individual provider Active NPI

Michael Anthony Nasca, OPTICIAN

  • Optician
  • Buffalo, NY
National Provider Identifier
1477636538
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
NY4126 Issued in NY
Practice address
2138 Delaware Ave
Buffalo, NY 14216-3210
Phone
(716) 876-2010
Fax
(716) 876-2010
NPI assigned
Oct 23, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NY4126 NY Primary

Addresses

Primary practice location

2138 Delaware Ave
Buffalo, NY 14216-3210

Mailing address

2138 Delaware Ave
Buffalo, NY 14216-3210
Phone (716) 876-2010

Other identifiers 1

IdentifierTypeStateIssuer
0586250001OtherNYDELAWARE OPTICIANS

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

LicenseStateTypeSpecialty
NY4126NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Opticians 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1477636538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163210",
            "telephone_number": "716-876-2010",
            "fax_number": "716-876-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163210",
            "telephone_number": "716-876-2010",
            "fax_number": "716-876-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASCA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "NY4126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE OPTICIANS",
            "identifier": "0586250001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.