Organization Active NPI

Wayland Optometric

  • Eyewear Supplier
  • Wayland, NY
National Provider Identifier
1720257900
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4055 Issued in NY
Legal business name
WAYLAND OPTOMETRIC
Practice address
7 N Main St
Wayland, NY 14572-1031
Phone
(585) 728-9890
Fax
(585) 728-5188
NPI assigned
Feb 21, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Michael Robert Schroedl, O.D.NPI 1740285840
Title
Owner/Optometrist
Phone
(585) 728-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4055 NY Primary

Addresses

Primary practice location

7 N Main St
Wayland, NY 14572-1031

Mailing address

7 N Main St
Wayland, NY 14572-1031
Phone (585) 728-9890

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1720257900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145721031",
            "telephone_number": "585-728-9890",
            "fax_number": "585-728-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145721031",
            "telephone_number": "585-728-9890",
            "fax_number": "585-728-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYLAND OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHROEDL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "585-728-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "4055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.