NPIMap

Organization Active NPI

Allegany Ophthalmology PLLC

  • Optometrist
  • Jamestown, NY
National Provider Identifier
1730714742
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALLEGANY OPHTHALMOLOGY PLLC
Practice address
548 W 3Rd St
Jamestown, NY 14701-4733
Phone
(716) 488-1147
Fax
(716) 790-8126
NPI assigned
Mar 10, 2020
Organization subpart
Yes
Parent organization
ALLEGANY OPHTHALMOLOGY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mallory Karen Davenport
Title
Director of Operations
Phone
(716) 372-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

548 W 3Rd St
Jamestown, NY 14701-4733

Mailing address

548 W 3Rd St
Jamestown, NY 14701-4733
Phone (716) 488-1147

Other names 1

  • Chautauqua Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200721000459 NY DME Supplier - Physician - Ophthalmology 8628223732 Practice locations: Jamestown, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Allegany Ophthalmology PLLC2 organizations share this tax ID, including this one
Part of
Allegany Ophthalmology PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Center St
Hornell, NY 14843
Phone (607) 324-7710

178 N Main St
Wellsville, NY 14895
Phone (585) 593-6369

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1730714742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147",
            "fax_number": "716-790-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014733",
            "telephone_number": "716-488-1147",
            "fax_number": "716-790-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGANY OPHTHALMOLOGY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGANY OPHTHALMOLOGY PLLC",
        "enumeration_date": "2020-03-10",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "716-372-9464"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.