Individual provider Active NPI

Betsy Utnick, NYS LIC. OPTICIAN

  • Optician
  • Monroe, NY
National Provider Identifier
1649491994
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C50082-1 Issued in NY
Practice address
475 State Route 17M
Plaza Optical
Monroe, NY 10950-4169
Phone
(845) 783-4400
Fax
(845) 782-4041
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X C005082-1 NY
Optician 156FX1800X C50082-1 NY Primary

Addresses

Primary practice location

475 State Route 17M
Plaza Optical
Monroe, NY 10950-4169

Mailing address

7 Chimney Ridge Dr
Harriman, NY 10926-3617
Phone (845) 783-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005082-1NYMDContact Lens Fitter
C50082-1NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649491994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHIMNEY RIDGE DR",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263617",
            "telephone_number": "845-783-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 STATE ROUTE 17M",
            "address_2": "PLAZA OPTICAL",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504169",
            "telephone_number": "845-783-4400",
            "fax_number": "845-782-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTNICK",
        "first_name": "BETSY",
        "credential": "NYS LIC. OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C005082-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C50082-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.