Darlene W Golibersuch

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005045 Issued in NY

Practice address

105 E Main St
Westfield, NY 14787-1306

Phone

(716) 793-2020

Fax

(716) 793-3030

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westfield Optical Studio LLC

  • Optometrist
  • Westfield, NY
  • NPI 1093775892
  NPD Authorized official

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1497922306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871306",
            "telephone_number": "716-793-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871306",
            "telephone_number": "716-793-2020",
            "fax_number": "716-793-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLIBERSUCH",
        "first_name": "DARLENE",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02737337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Frye, RN
• Charles Phillip Garriott, D.O
• Jeffrey W Gerould, DC
• Kirstin Cady Gleason, FNP-C
• Mary Ann D. Godlewski, RPH
• Timothy Alan Gorman, MD
• Pam M Green, RPH
• Andrew Harrington, PHARM D
• Chelsea Hatch, FNP
• Jeffrey John Janicki, M.S, NCC, LMHC

• All providers in Westfield, NY
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.