Organization Active NPI

Westtown Optical Inc

  • Optician
  • Ithaca, NY
National Provider Identifier
1740457803
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C006861-1 Issued in NY
Legal business name
WESTTOWN OPTICAL INC
Practice address
609 W Clinton St
Ithaca, NY 14850-5255
Phone
(607) 272-7775
Fax
(607) 319-5178
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Ms. Kristin P. Richards
Title
Office Manager
Phone
(607) 272-7775

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T3728 NY
Contact Lens FitterGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0801X C006861-1 NY
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X C006861-1 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 003079-1 NY

Addresses

Primary practice location

609 W Clinton St
Ithaca, NY 14850-5255

Mailing address

609 W Clinton St
Ithaca, NY 14850-5255
Phone (607) 272-7775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1740457803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W CLINTON ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505255",
            "telephone_number": "607-272-7775",
            "fax_number": "607-319-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W CLINTON ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505255",
            "telephone_number": "607-272-7775",
            "fax_number": "607-319-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTTOWN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-272-7775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T3728",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C006861-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C006861-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "003079-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.