Organization Active NPI

Eye Care Professionals of Western New York, LLP

  • Optometrist
  • Depew, NY
National Provider Identifier
1619194115
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE PROFESSIONALS OF WESTERN NEW YORK, LLP
Practice address
4703 Transit Rd
Depew, NY 14043-4861
Phone
(716) 656-2011
Fax
(716) 656-1946
NPI assigned
Apr 19, 2007
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Catherine R Heinrich
Title
Practice Manager
Phone
(716) 833-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4703 Transit Rd
Depew, NY 14043-4861

Mailing address

5500 Main St
Suite 102
Williamsville, NY 14221-6755
Phone (716) 833-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041014000822 NY Part B Supplier - Clinic/Group Practice 6002876976 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Depew, NY; Cheektowaga, NY; Williamsville, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1619194115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216755",
            "telephone_number": "716-833-2020",
            "fax_number": "716-833-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434861",
            "telephone_number": "716-656-2011",
            "fax_number": "716-656-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE PROFESSIONALS OF WESTERN NEW YORK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "HEINRICH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "716-833-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.