NPIMap

Organization Active NPI

Allegany Ophthalmology PLLC

Doing business as Council Optometric Center

  • Optometrist
  • Olean, NY
National Provider Identifier
1760736946
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALLEGANY OPHTHALMOLOGY PLLC
Doing business as
Council Optometric Center
Practice address
168 N Union St
Olean, NY 14760-2735
Phone
(716) 372-9464
NPI assigned
Nov 9, 2012
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

168 N Union St
Olean, NY 14760-2735

Mailing address

12 Martin St
Wellsville, NY 14895-1057
Phone (585) 593-6041

Other practice location 1

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

Other practice location 2

34 Broadway Mall
Hornell, NY 14843-1920
Phone (607) 324-7710

Other names 1

  • Council Optometric Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000049 NY Part B Supplier - Clinic/Group Practice 8628223732 Receives reassigned benefits from 11 practitioners
Practice locations: Hornell, NY; Olean, NY; Wellsville, 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

Locations

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1760736946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "585-593-6041",
            "fax_number": "585-593-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602735",
            "telephone_number": "716-372-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "548 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147014733",
            "country_code": "US",
            "telephone_number": "716-488-1147",
            "fax_number": "716-790-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Broadway Mall",
            "address_purpose": "LOCATION",
            "city": "Hornell",
            "state": "NY",
            "postal_code": "148431920",
            "country_code": "US",
            "telephone_number": "607-324-7710",
            "fax_number": "716-790-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEGANY OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "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": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Council Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.