Pacer Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C004816-1 Issued in NY

Legal business name

PACER OPTICAL LLC

Practice address

900 Holt Rd # 10
Webster, NY 14580-9102

Phone

(585) 872-4006

Fax

(585) 872-4021

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie M Pacer

Title

Member/Managing Optician

Phone

(585) 872-4006

Specialties & licenses 3

Addresses

Other names 1

• Pearle Vision Other name

Locations

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1780972786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOLT RD SPC 10",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809102",
            "telephone_number": "585-872-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOLT RD # 10",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809102",
            "telephone_number": "585-872-4006",
            "fax_number": "585-872-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PACER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/MANAGING OPTICIAN",
        "authorized_official_telephone_number": "585-872-4006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5361",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NY",
            "license": "C004816-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C004816-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optician in Webster, NY
• Providers in Webster, NY by specialty
• Optician in New York

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