Individual provider Active NPI

Robert John Pawlowski

  • Optician
  • Amherst, NY
National Provider Identifier
1750855573
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C003339 Issued in NY
Practice address
3290 Sheridan Dr
Amherst, NY 14226-1422
Phone
(716) 691-1192
Fax
(716) 834-2365
NPI assigned
Jan 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C003339 NY Primary

Addresses

Primary practice location

3290 Sheridan Dr
Amherst, NY 14226-1422

Mailing address

3290 Sheridan Dr
Amherst, NY 14226-1422
Phone (716) 691-1192

Other names 1

  • Robert John Pawlowski Professional name

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

LicenseStateTypeSpecialty
C003339NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1750855573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261422",
            "telephone_number": "716-691-1192",
            "fax_number": "716-834-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261422",
            "telephone_number": "716-691-1192",
            "fax_number": "716-834-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C003339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "PAWLOWSKI",
            "middle_name": "JOHN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.