Optical Dispensary Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL DISPENSARY INC

Practice address

117 E Union St
Newark, NY 14513-1503

Phone

(315) 331-7917

Fax

(315) 331-7917

NPI assigned

Jul 7, 2006

Last updated

Jul 28, 2022By 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

Bruce C. MingerNPI 1336164318

Title

President

Phone

(315) 331-7917

Specialties & licenses 2

Addresses

Other identifiers 3

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.

• Bruce C. Minger

  • Optician
  • Newark, NY
  • NPI 1336164318
  NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1710919816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131503",
            "telephone_number": "315-331-7917",
            "fax_number": "315-331-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131503",
            "telephone_number": "315-331-7917",
            "fax_number": "315-331-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL DISPENSARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "MINGER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-331-7917"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01782085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER#",
            "identifier": "103080CT",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER#",
            "identifier": "017510226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nysarc Inc. (Wayne County Chapter)
• Aubrey Marie O'Connor, MSOT, OTR
• Susan Marie Oberdorf, CCP-SLP, LIC.
• James Nathan Olmstead, P.T.
• Raissa Madeleine Ong, M.D.
• Beth A Orlowski, D.O.
• Allison Marie Ortiz, PA-C
• Melody E Osgood, LAC
• Monifi A Osmen
• Hilliary Aileen Ottaviano

• Eyewear Supplier in Newark, NY
• Providers in Newark, 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 Jul 28, 2022; 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.