Davison Road Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

DAVISON ROAD OPTICAL INC

Doing business as

Newfane Family Eyecare

Practice address

2731 Main St
Newfane, NY 14108-1203

Phone

(716) 778-0926

Fax

(716) 778-0926

NPI assigned

Mar 26, 2007

Last updated

Aug 16, 2011By 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. Genevieve L. Snyder

Title

Administrator

Phone

(716) 434-8063

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• NEWFANE FAMILY EYECARE 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.

• Elizabeth Ann Dannebrock, O.D.

  • Optometrist
  • Lockport, NY
  • NPI 1134483191
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1669599247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 MAIN ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "141081203",
            "telephone_number": "716-778-0926",
            "fax_number": "716-778-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MAIN ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "141081203",
            "telephone_number": "716-778-0926",
            "fax_number": "716-778-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISON ROAD OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-434-8063",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE",
            "identifier": "149010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED LOCATION #",
            "identifier": "NY3149",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "000300233002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "0005901355",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED CARE",
            "identifier": "145817C",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PIN #",
            "identifier": "1071",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "330868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH RX #",
            "identifier": "OS0044759",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWFANE FAMILY EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill J Carnes, MSPT
• Yong Baek CHI, M.D.
• Harnath Balendra Clerk, MD
• Christopher Thomas Connolly, RPH
• David Allan Czachorowski, RPH.
• Davison Road Optical, Inc. (Newfane Family Eyecare)
• Catherine Demjanenko, PT
• Kimberly Abigail Ebanks
• Jill M Ector, FNP-BC
• Farzana Habib (Newfane OB-GYN)

• Eyewear Supplier in Newfane, NY
• Providers in Newfane, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.