Active NPI
Warsaw Opticians, Inc .
- Optician
- Warsaw, NY
National Provider Identifier
1619037256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- C004826-1
- Legal business name
- WARSAW OPTICIANS, INC .
- Practice address
- 2447 State Route 19 N
Warsaw, NY 14569-9336 - Phone
- (585) 786-5075
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel F Nowak, OPTICIAN
- Title
- Owner
- Phone
- (585) 786-5075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | C004826-1 | NY | Primary |
Addresses
Primary practice location
2447 State Route 19 N
Warsaw, NY 14569-9336
Mailing address
2447 State Route 19 N
Warsaw, NY 14569-9336
Phone (585) 786-5075
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00963204 | Medicaid | NY | |
| 7311143 | Other | NY | INDEPENDENT HEALTH |
| NY4826 | Other | NY | EYEMED |
| 0027036801 | Other | NY | UNIVERA |
| 103131CT | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2447 State Route 19 N
Warsaw, NY 14569
Phone (585) 786-5075
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cheektowaga, NY
- NPI 1902801376
-
- Optometrist
- Wellsville, NY
- NPI 1841235975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1619037256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2447 STATE ROUTE 19 N",
"city": "WARSAW",
"state": "NY",
"postal_code": "145699336",
"telephone_number": "585-786-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 STATE ROUTE 19 N",
"city": "WARSAW",
"state": "NY",
"postal_code": "145699336",
"telephone_number": "585-786-5075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARSAW OPTICIANS, INC .",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "NOWAK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-786-5075",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C004826-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00963204",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "7311143",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NY4826",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0027036801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103131CT",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.