Spectacle Shoppe LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SPECTACLE SHOPPE LLC

Doing business as

The Spectacle Shoppe

Practice address

224 Tom Miller Rd
Plattsburgh, NY 12901-6427

Phone

(518) 561-6129

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E Ryder

Title

Owner

Phone

(518) 561-7170

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Spectacle Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Gretchen R Spittler, OD

  • Optometrist
  • Plattsburgh, NY
  • NPI 1548311129
  Medicare reassignment

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1851569776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016427",
            "telephone_number": "518-561-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TOM MILLER RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016427",
            "telephone_number": "518-561-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACLE SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-561-7170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649265",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01440642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spectacle Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Soulia, MS, RD, CDN, CDE
• Kourtni Colleen Souliere, LMHC
• Letece Spaulding
• Anne Marie B Spear, DDS
• Charlotte Rosalind Spear
• Erin Laura Spees, M.D.
• Gretchen R Spittler, OD
• Paige Elizabeth Spittler
• Nora Paola Sponable, LPN
• Sports, Orthopedic and Spine Rehabilitation, P.T. P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.