Organization Active NPI

Spencerport Family Eyecare

  • Optometrist
  • Spencerport, NY
National Provider Identifier
1811180755
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005157 Issued in NY
Legal business name
SPENCERPORT FAMILY EYECARE
Practice address
24 West Ave
Spencerport, NY 14559-1344
Phone
(585) 352-1960
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Karen L Kilbourn
Title
Billing Manager
Phone
(585) 586-6524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT005157 NY Primary

Addresses

Primary practice location

24 West Ave
Spencerport, NY 14559-1344

Mailing address

24 West Ave
Spencerport, NY 14559-1344
Phone (585) 352-1960

National Provider Directory

National Provider Directory
Tax ID family
Cary a Kazdan OD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24 West Ave
Spencerport, NY 14559
Phone (585) 352-1960

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1811180755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEST AVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591344",
            "telephone_number": "585-352-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEST AVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591344",
            "telephone_number": "585-352-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCERPORT FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "KILBOURN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "585-586-6524"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.