Organization Active NPI

Burnt Hills Optical, Inc

  • Optician
  • Burnt Hills, NY
National Provider Identifier
1871735191
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BURNT HILLS OPTICAL, INC
Practice address
793 Route 50
Burnt Hills, NY 12027-9501
Phone
(519) 399-6130
Fax
(518) 399-4064
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mrs. Kristen CameronNPI 1437333838
Title
Vice President/ Optician/ Manager
Phone
(518) 399-6130

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

793 Route 50
Burnt Hills, NY 12027-9501

Mailing address

PO Box 209
Burnt Hills, NY 12027-0209
Phone (518) 399-6130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000307 NY Part B Supplier - Clinic/Group Practice 7618028416 Receives reassigned benefits from 1 practitioner
Practice locations: Burnt Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1871735191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120270209",
            "telephone_number": "518-399-6130",
            "fax_number": "518-399-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279501",
            "telephone_number": "519-399-6130",
            "fax_number": "518-399-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNT HILLS OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VICE PRESIDENT/ OPTICIAN/ MANAGER",
        "authorized_official_telephone_number": "518-399-6130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.