Organization Active NPI

Main Place Optical Inc.

  • Eyewear Supplier
  • Buffalo, NY
National Provider Identifier
1730250226
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
VUT005065 Issued in NY
Legal business name
MAIN PLACE OPTICAL INC.
Doing business as
Sterling Optical
Practice address
390 Main St # 350
Main Place Mall
Buffalo, NY 14202-3702
Phone
(716) 852-7572
Fax
(716) 854-0954
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Dennis Osiak
Title
President
Phone
(716) 852-7572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X VUT005065 NY Primary

Addresses

Primary practice location

390 Main St # 350
Main Place Mall
Buffalo, NY 14202-3702

Mailing address

390 -350 Main St
Main Place Mall
Buffalo, NY 14202-3750
Phone (716) 852-7572

Other identifiers 8

IdentifierTypeStateIssuer
00011208601OtherNYUNIVERA
01561797MedicaidNY
000300100005OtherNYBCBS
NY5065OtherNYCOLE
08697OtherNYSPECTERA
NY5065OtherNYEYE MED
30174OtherNYDAVIS/FIDELIS
NY2984OtherNYEYE MED

Other names 1

  • Sterling Optical Doing business as

National Provider Directory

National Provider Directory

Locations

390 Main St
#350
Buffalo, NY 14202
Phone (716) 852-7572

390 Main St
Buffalo, NY 14202

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1730250226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 -350 MAIN ST",
            "address_2": "MAIN PLACE MALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023750",
            "telephone_number": "716-852-7572",
            "fax_number": "716-854-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST # 350",
            "address_2": "MAIN PLACE MALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023702",
            "telephone_number": "716-852-7572",
            "fax_number": "716-854-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PLACE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OSIAK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-852-7572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT005065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011208601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01561797",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000300100005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE",
            "identifier": "NY5065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "08697",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NY5065",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS/FIDELIS",
            "identifier": "30174",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NY2984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "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 Apr 20, 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.