Southern Tier Optometric Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHERN TIER OPTOMETRIC CENTER INC

Doing business as

Council Optometric Center

Practice address

548 W 3Rd St
Jamestown, NY 14701-4733

Phone

(716) 488-1147

NPI assigned

Jan 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sam L Rosenswie

Title

Corporate Business Manager

Phone

(716) 372-9464

Specialties & licenses 1

Addresses

Other names 1

• Council Optometric Center Doing business as

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629058029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER OPTOMETRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENSWIE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORPORATE BUSINESS MANAGER",
        "authorized_official_telephone_number": "716-372-9464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlie Jean Soldano, FNP-C
• Cain Forest Sonney, DPT
• Sevak Soukiazian, MD
• Olivia South
• Southern Tier Home Infusion Inc (Pharmacy Innovations)
• Southern Tier Optometry PLLC
• Southern Tier Optometry Vision Therapy
• Southern Tier Pediatrics Practice, P.C.
• Southside Pharmacy Inc (Southside Pharmacy)
• Southwestern Central School District

• Optometrist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Optometrist in New York

• 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.