Jamestown Optometric Group, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003267-1 Issued in NY

Legal business name

JAMESTOWN OPTOMETRIC GROUP, PC

Practice address

555 Fairmount Ave
Jamestown, NY 14701-2750

Phone

(716) 664-7601

Fax

(716) 664-3353

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Christopher J Colburn, O.D.NPI 1649269861

Title

Partner

Phone

(716) 664-7601

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Spectrum Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher J Colburn, O.D.

  • Optometrist
  • Jamestown, NY
  • NPI 1649269861
  Medicare reassignment Care Compare group NPD Authorized official
• James A Schultz, O.D.

  • Optometrist
  • Jamestown, NY
  • NPI 1174871578
  Medicare reassignment Care Compare group NPD
• Delia Landy, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1003129123

  NY

  Medicare reassignment Care Compare group NPD
• Henry W Mole', O.D.

  • Optometrist
  • Jamestown, NY
  • NPI 1518956929
  Medicare reassignment Care Compare group
• Anna C Wohlgemuth, O.D.

  • Optometrist
  • Jamestown, NY
  • NPI 1578898656
  Medicare reassignment Care Compare group
• Kara I Gibbs, O.D.

  • Optometrist
  • Bradford, PA
  • NPI 1083605745

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1821087248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012750",
            "telephone_number": "716-664-7601",
            "fax_number": "716-664-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012750",
            "telephone_number": "716-664-7601",
            "fax_number": "716-664-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN OPTOMETRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-664-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003318-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003267-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005272-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006073-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRA HEALTH RAILROAD",
            "identifier": "CA3840",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "Y051712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.