Riverside Specs

Primary specialty

OpticianTaxonomy code 156FX1800X

License

7296 Issued in NY

Legal business name

RIVERSIDE SPECS

Practice address

742 Tonawanda St
Buffalo, NY 14207-2145

Phone

(716) 362-0800

Fax

(716) 362-0801

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert William Radau

Title

Owner/Optician

Phone

(716) 362-0800

Specialties & licenses 1

Addresses

Tax ID family

Elmwood Specs Inc2 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.

• Robert W. Radau, Optician, P.C.

  • Eyewear Supplier
  • Buffalo, NY
  • NPI 1609013382
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Lakomy Cress, OD

  • Optometrist
  • Niagara Falls, NY
  • NPI 1598766461
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1649589490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 TONAWANDA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 TONAWANDA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072145",
            "telephone_number": "716-362-0800",
            "fax_number": "716-362-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SPECS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "RADAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "716-362-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "7296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Rivera
• Mariel Rivero, MD
• Caitlyn Christina Rivers, NP
• Lynn C Rivers, PT
• Roshell L Rivers
• Riverview Chiropractic PC
• Lileian Nidal Rizek
• Suad Bahjat Rizeq
• Meher Rizv
• Abbas Raza Rizvi

• Optician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.