Organization Active NPI

Rush Henrietta Opticians, P.C.

  • Optician
  • Henrietta, NY
National Provider Identifier
1508913179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C004773-1 Issued in NY
Legal business name
RUSH HENRIETTA OPTICIANS, P.C.
Practice address
2824 E Henrietta Rd
Henrietta, NY 14467-9322
Phone
(585) 334-9190
NPI assigned
Jan 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarah E. Wise
Title
Office Manager
Phone
(585) 334-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C004773-1 NY Primary

Addresses

Primary practice location

2824 E Henrietta Rd
Henrietta, NY 14467-9322

Mailing address

2824 E Henrietta Rd
Henrietta, NY 14467-9322
Phone (585) 334-9190

Other identifiers 1

IdentifierTypeStateIssuer
143179CTOtherNYPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

2824 E Henrietta Rd
Henrietta, NY 14467
Phone (585) 334-7262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508913179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 E HENRIETTA RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679322",
            "telephone_number": "585-334-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 E HENRIETTA RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679322",
            "telephone_number": "585-334-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH HENRIETTA OPTICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-334-9190"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C004773-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "143179CT",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.