Individual provider Active NPI

Dawn Ellen Titus, LPO

  • Optician
  • Ticonderoga, NY
National Provider Identifier
1770717332
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008987 Issued in NY
Practice address
89 Montcalm St
Ticonderoga, NY 12883-1385
Phone
(518) 585-4000
Fax
(518) 585-5286
NPI assigned
May 12, 2009
Last updated
May 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 008987 NY Primary

Addresses

Primary practice location

89 Montcalm St
Ticonderoga, NY 12883-1385

Mailing address

89 Montcalm Street
Ticonderoga, NY 12883-4004
Phone (518) 585-4000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optics of Ticonderoga Optician PastSince Jun 7, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1770717332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MONTCALM STREET",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128834004",
            "telephone_number": "518-585-4000",
            "fax_number": "518-585-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MONTCALM ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831385",
            "telephone_number": "518-585-4000",
            "fax_number": "518-585-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "DAWN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ticonderoga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.