Kenmore Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004496 Issued in NY

Legal business name

KENMORE EYECARE INC.

Practice address

924 Kenmore Ave
Buffalo, NY 14216-1451

Phone

(716) 876-2020

Fax

(716) 876-2020

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Burstein, ODNPI 1215935994

Title

Optometrist

Phone

(716) 876-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kenmore Eye Care Inc.

  • Optometrist
  • Amherst, NY
  • NPI 1134308240

  O20041006000960

  Same enrollment

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Burstein, OD

  • Optometrist
  • Buffalo, NY
  • NPI 1215935994
  NPD Authorized official
• Calogera Leonarda Mendola, OD

  • Optometrist
  • Buffalo, NY
  • NPI 1235223066
  NPD
• Sandra L Segerson, OD

  • Optometrist
  • Buffalo, NY
  • NPI 1609182104
  NPD
• Francesco John Barbarossa, OD

  • Optometrist
  • Kenmore, NY
  • NPI 1407853369
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1497943096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161451",
            "telephone_number": "716-876-2020",
            "fax_number": "716-876-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161451",
            "telephone_number": "716-876-2020",
            "fax_number": "716-876-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BURSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "716-876-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Kendall
• Jennifer Kendall, MA CCC/A
• Chelsea Kendra
• Monet Emani Kendrick
• Brian Matthew Kenjarski, MD
• Kenmore Pediatric Assoc., P.C.
• Kenmore Qualitycare Dentistry, PC
• Kenmore Village Pharmacy, LLC.
• Kenmore-Town of Tonawanda Ufsd
• Alexis Rose Kennedy

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.