W Fred Waby Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NY 3725 Issued in NY

Legal business name

W FRED WABY OPTICIANS INC

Doing business as

Waby Opticians

Practice address

312 Division Street
Fulton, NY 13069

Phone

(315) 593-3193

Fax

(315) 593-3199

NPI assigned

Oct 6, 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

Mr. John H Churchill, OPTICIAN

Title

President

Phone

(315) 593-3193

Specialties & licenses 1

Addresses

Other names 1

• Waby Opticians Doing business as

Locations

Practitioners 1

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.

• Charles Dembowski, OD

  • Optometrist
  • Watertown, NY
  • NPI 1447205570
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659468031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "address_2": "312 DIVISION STREET",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-593-3193",
            "fax_number": "315-593-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 DIVISION STREET",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-593-3193",
            "fax_number": "315-593-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W FRED WABY OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-593-3193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "NY 3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waby Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upstate Virtual Counseling
• Claire Ann Vacca, N,P.
• Mikayla Van Gorder, PA
• Mark Vanmarter, DDS
• Sanjeev Kumar Verma, MD
• Deirdre Wahl, FNP-C
• Carol Waite
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3332)
• Wal-Mart Stores East, LP (Vision Center 30-3332)
• Walgreen Co (Walgreens #17389)

• Optician in Fulton, NY
• Providers in Fulton, NY by specialty
• Optician 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.