Organization Active NPI

Win Vision Boutique LLC

  • Ophthalmic Technician/Technologist
  • Clifton Park, NY
National Provider Identifier
1871058388
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
Legal business name
WIN VISION BOUTIQUE LLC
Practice address
22 Clifton Country Rd Ste 175
Clifton Park, NY 12065-3864
Phone
(518) 371-1881
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Nicholas Shashati
Title
Professional Services
Phone
(858) 414-3513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X Primary

Addresses

Primary practice location

22 Clifton Country Rd Ste 175
Clifton Park, NY 12065-3864

Mailing address

22 Clifton Country Rd Ste 175
Clifton Park, NY 12065-3864

Other names 1

  • Sterling Optical Doing business as

National Provider Directory

National Provider Directory

Locations

22 Clifton Country Rd
Ste 175
Clifton Park, NY 12065
Phone (518) 371-1881

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1871058388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CLIFTON COUNTRY RD STE 175",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CLIFTON COUNTRY RD STE 175",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653864",
            "telephone_number": "518-371-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN VISION BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "SHASHATI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "858-414-3513"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.