Active NPI
Main Place Optical Inc.
- Eyewear Supplier
- Buffalo, NY
National Provider Identifier
1730250226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- VUT005065
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00011208601 | Other | NY | UNIVERA |
| 01561797 | Medicaid | NY | |
| 000300100005 | Other | NY | BCBS |
| NY5065 | Other | NY | COLE |
| 08697 | Other | NY | SPECTERA |
| NY5065 | Other | NY | EYE MED |
| 30174 | Other | NY | DAVIS/FIDELIS |
| NY2984 | Other | NY | EYE MED |
Other names 1
- Sterling Optical
National Provider Directory
National Provider DirectoryLocations
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.