Kenneth W McNeil

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4079 Issued in NY

Practice address

3662 The Park
Cortland, NY 13045-3324

Phone

(607) 753-7514

Fax

(607) 753-7515

NPI assigned

Dec 26, 2006

Last updated

Aug 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optivision

  • Eyewear Supplier
  • Cortland, NY
  • NPI 1699983262

  Optician

  NPD (past) Authorized official
• John J Maurillo Odpc

  dba dba: village Visions

  • Optometrist
  • Skaneateles, NY
  • NPI 1164601506
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1811052186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 THE PARK",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453324",
            "telephone_number": "607-753-7514",
            "fax_number": "607-753-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 THE PARK",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453324",
            "telephone_number": "607-753-7514",
            "fax_number": "607-753-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4079",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "4079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice McLaughlin
• Cinnamon A McLyman, ABOC
• Judith A. McMahon, AU.D
• Peter McMahon
• Brianna Colleen McNamara, M.S. CCC-SLP
• Medicaid Obstetrical and Maternal Services
• Lindsay M. Meldrim, LMSW
• Patricia L. Mellberg, R.N.
• Sierra Metcalf, MHC-LP
• Ngozi C Mezu, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.