Active NPI
Christopher W Naedele, OPTICIAN
- Optician
- Buffalo, NY
National Provider Identifier
1508076076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008127-1
- Practice address
- 2507 Harlem Rd
902 Main St.
Buffalo, NY 14225-4527 - Phone
- (716) 893-0633
- NPI assigned
- May 23, 2007
- Sex
- Male
- 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 | 008127-1 | NY | Primary |
Addresses
Primary practice location
2507 Harlem Rd
902 Main St.
Buffalo, NY 14225-4527
Mailing address
PO Box 115
Eden, NY 14057-0115
Phone (716) 337-3784
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 |
|---|---|---|---|
| 008127-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508076076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "EDEN",
"state": "NY",
"postal_code": "140570115",
"telephone_number": "716-337-3784",
"fax_number": "716-893-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 HARLEM RD",
"address_2": "902 MAIN ST.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142254527",
"telephone_number": "716-893-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAEDELE",
"first_name": "CHRISTOPHER",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008127-1",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.