Fazzary Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

007410 Issued in NY

Legal business name

FAZZARY EYE CARE, LLC

Practice address

29 N Franklin St
Watkins Glen, NY 14891-1252

Phone

(917) 499-9131

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ashley B Fazzary, O.D.

Title

Owner

Phone

(917) 499-9131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1780959726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 COUNTY ROAD 17",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148919401",
            "telephone_number": "917-499-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911252",
            "telephone_number": "917-499-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAZZARY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "FAZZARY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-499-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Dietz
• Paul Thomas Donnelly, M.D.
• Marcia N Douglas, LCSW R
• Wendy Drake
• Ester Edelman, LMSW
• Kevin Stewart Field, PH.D.
• Cindy S. Finch, R.PH.
• Suzanne K Fingler, RPN
• Patrick J. Fitzgerald, DDS
• Coveney Fitzsimmons, M.D.

• Optometrist in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.