Individual provider Active NPI

Michele Laquidari, OPHTHALMIC DISPENSER

  • Optician
  • Geneva, NY
National Provider Identifier
1659868743
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008871 Issued in NY
Practice address
738 Pre Emption Rd
Geneva, NY 14456-1336
Phone
(315) 789-8897
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 008871 NY Primary

Addresses

Primary practice location

738 Pre Emption Rd
Geneva, NY 14456-1336

Mailing address

738 Pre Emption Rd
Geneva, NY 14456-1336
Phone (315) 789-8897

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1659868743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561336",
            "telephone_number": "315-789-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561336",
            "telephone_number": "315-789-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUIDARI",
        "first_name": "MICHELE",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.