Individual provider Active NPI

David Mark Kalota, OPTICIAN

  • Optician
  • Niagara Falls, NY
National Provider Identifier
1689166803
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C004425 Issued in NY
Practice address
7900 Buffalo Ave Ste a
Niagara Falls, NY 14304-4299
Phone
(716) 283-8746
Fax
(716) 283-1873
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C004425 NY Primary

Addresses

Primary practice location

7900 Buffalo Ave Ste a
Niagara Falls, NY 14304-4299

Mailing address

7900 Buffalo Ave Ste a
Niagara Falls, NY 14304-4299
Phone (716) 283-8746

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

State licenses

LicenseStateTypeSpecialty
C004425NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1689166803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BUFFALO AVE STE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044299",
            "telephone_number": "716-283-8746",
            "fax_number": "716-283-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 BUFFALO AVE STE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044299",
            "telephone_number": "716-283-8746",
            "fax_number": "716-283-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOTA",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C004425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.