Active NPI
Leelee Muesebeck, OPTICIAN
- Optician
- Brockport, NY
National Provider Identifier
1740350370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 37241
- Practice address
- 100 Main St
Brockport, NY 14420 - Phone
- (585) 637-0430
- Fax
- (585) 637-8016
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 37241 | NY | Primary |
Addresses
Primary practice location
100 Main St
Brockport, NY 14420
Mailing address
100 Main St
Brockport, NY 14420
Phone (585) 637-0430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8749 | Other | NY | BCBS |
| 103285CT | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37241 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740350370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "14420",
"telephone_number": "585-637-0430",
"fax_number": "585-637-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "14420",
"telephone_number": "585-637-0430",
"fax_number": "585-637-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUESEBECK",
"first_name": "LEELEE",
"name_prefix": "Mrs.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "37241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8749",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103285CT",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.