Organization Active NPI

Biondolillo Eye Care LLC

  • Optometrist
  • Hamburg, NY
National Provider Identifier
1811200116
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0038391 Issued in NY
Legal business name
BIONDOLILLO EYE CARE LLC
Practice address
206 Lake St
Hamburg, NY 14075-4471
Phone
(716) 649-1010
Fax
(716) 649-1382
NPI assigned
Jul 15, 2010
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Joseph C Biondolillo, O.D.NPI 1104810845
Title
Owner/Optometrist
Phone
(716) 649-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0038391 NY Primary

Addresses

Primary practice location

206 Lake St
Hamburg, NY 14075-4471

Mailing address

206 Lake St
Hamburg, NY 14075-4471
Phone (716) 649-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000556 NY Part B Supplier - Clinic/Group Practice 0547441040 Receives reassigned benefits from 6 practitioners
Practice locations: Hamburg, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2116639Biondolillo Eye Care LLC206 Lake Street, Hamburg, NY 14075Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1811200116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754471",
            "telephone_number": "716-649-1010",
            "fax_number": "716-649-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754471",
            "telephone_number": "716-649-1010",
            "fax_number": "716-649-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIONDOLILLO EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BIONDOLILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "716-649-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0038391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.