Organization Active NPI

Paul Bulger Vision Rehabilitation Clinic, Inc

  • Rehabilitation Clinic/Center
  • Buffalo, NY
National Provider Identifier
1730236159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PAUL BULGER VISION REHABILITATION CLINIC, INC
Practice address
1170 Main St
Buffalo, NY 14209-2331
Phone
(716) 882-1025
Fax
(716) 882-5577
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Heather Telford, RN
Title
Administrator
Phone
(716) 882-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NY Primary

Addresses

Primary practice location

1170 Main St
Buffalo, NY 14209-2331

Mailing address

1170 Main St
Buffalo, NY 14209-2331
Phone (716) 882-1025

Other names 1

  • Bulger Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730236159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092331",
            "telephone_number": "716-882-1025",
            "fax_number": "716-882-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092331",
            "telephone_number": "716-882-1025",
            "fax_number": "716-882-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BULGER VISION REHABILITATION CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TELFORD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-882-1025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bulger Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.