Individual provider Active NPI

Ross Moscato, OPTICIAN

  • Optician
  • Ellicottville, NY
National Provider Identifier
1881768703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C004448 Issued in NY
Practice address
2 Hughey Alley
Ellicottville, NY 14731
Phone
(716) 699-5293
Fax
(716) 699-8726
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C004448 NY Primary

Addresses

Primary practice location

2 Hughey Alley
Ellicottville, NY 14731

Mailing address

2 Hughey Alley
Ellicottville, NY 14731
Phone (716) 699-5293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C004448NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellicottville Eye Care, PC PastSince Apr 26, 2020 Accepting new patients
Ellicottville Optical Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881768703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUGHEY ALLEY",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "14731",
            "telephone_number": "716-699-5293",
            "fax_number": "716-699-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUGHEY ALLEY",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "14731",
            "telephone_number": "716-699-5293",
            "fax_number": "716-699-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCATO",
        "first_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C004448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicottville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.