Individual provider Active NPI

Kathleen Ferro Weiss, OPHTHA.MIC DISPENSER

  • Optician
  • Endicott, NY
National Provider Identifier
1790819365
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C0037771 Issued in NY
Practice address
32 Garfield Ave
Endicott, NY 13760-5450
Phone
(607) 754-8670
Fax
(607) 786-5318
NPI assigned
Mar 15, 2007
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C0037771 NY Primary

Addresses

Primary practice location

32 Garfield Ave
Endicott, NY 13760-5450

Mailing address

32 Garfield Ave
Endicott, NY 13760-5450

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
C0037771NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1790819365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GARFIELD AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GARFIELD AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605450",
            "telephone_number": "607-754-8670",
            "fax_number": "607-786-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "KATHLEEN",
        "middle_name": "FERRO",
        "credential": "OPHTHA.MIC DISPENSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C0037771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.