Organization Active NPI

Elizabeth Pierce Olmsted, MD Center for the Visually Impaired

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1588747109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005472 Issued in NY
Legal business name
ELIZABETH PIERCE OLMSTED, MD CENTER FOR THE VISUALLY IMPAIRED
Practice address
1170 Main St
Buffalo, NY 14209-2331
Phone
(716) 882-1025
Fax
(716) 882-5577
NPI assigned
Oct 24, 2006
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
James Simmons, ODNPI 1659343002
Title
Doctor of Optometry
Phone
(716) 882-1025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005472 NY Primary

Addresses

Primary practice location

1170 Main St
Buffalo, NY 14209-2331

Mailing address

908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000037 NY Part B Supplier - Clinic/Group Practice 1759349905 Receives reassigned benefits from 3 practitioners
Practice locations: Buffalo, NY; Orchard Park, NY

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Pierce Olmsted MD Center for the Visually Impaired2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1170 Main St
Buffalo, NY 14209
Phone (716) 882-1025

1491 Sheridan Dr
Ste 600
Kenmore, NY 14217
Phone (716) 876-4047

Practitioners & affiliated clinicians

Practitioners 3

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588747109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092331",
            "telephone_number": "716-882-1025",
            "fax_number": "716-882-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PIERCE OLMSTED, MD CENTER FOR THE VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "716-882-1025",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005472",
            "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 Aug 22, 2020; 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.