Organization Active NPI

Eye Q of Cny LLC

  • Optometrist
  • New Hartford, NY
National Provider Identifier
1679949879
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE Q OF CNY LLC
Practice address
4660 Commercial Dr
New Hartford, NY 13413-6203
Phone
(315) 797-2020
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Diane Engell
Title
Office Mannager/Optician
Phone
(315) 797-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 008511 NY

Addresses

Primary practice location

4660 Commercial Dr
New Hartford, NY 13413-6203

Mailing address

4660 Commercial Dr
New Hartford, NY 13413-6203
Phone (315) 797-2020

National Provider Directory

National Provider Directory

Locations

4660 Commercial Dr
New Hartford, NY 13413
Phone (315) 797-2020

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1679949879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136203",
            "telephone_number": "315-797-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 COMMERCIAL DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134136203",
            "telephone_number": "315-797-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE Q OF CNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "ENGELL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANNAGER/OPTICIAN",
        "authorized_official_telephone_number": "315-797-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "008511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.