Amy B Internicola, LICENSED OPTICIAN

Primary specialty

Contact Lens FitterTaxonomy code 156FC0801X

License

C005694-1 Issued in NY

Practice address

2441 Sheridan Dr
Tonawanda, NY 14150-9405

Phone

(716) 836-8700

Fax

(716) 836-3549

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amar Atwal, MD PC

  • Ophthalmology Physician
  • Cheektowaga, NY
  • NPI 1013982727
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700099785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509405",
            "telephone_number": "716-836-8700",
            "fax_number": "716-836-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509405",
            "telephone_number": "716-836-8700",
            "fax_number": "716-836-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERNICOLA",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C005694-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED OPTICIAN",
            "identifier": "C005694-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse House, D.C.
• Barbara Jean Hyers, REGISTERED NURSE
• Deborah Igoe
• Antoinette Inclima Inclima
• Kristine Ingro, PMHNP
• Elaine Elizabeth Irwin, RN
• John Iskander
• Christine E Jaimes, LCSW R
• Rajiv Jain, MD
• James a. Hoddick, D.D.S. & Thomas J. Balazs, D.D.S., L.L.P.

• Technician/Technologist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.