Individual provider Active NPI

Samantha Anumihe, LDO

  • Optician
  • Fishkill, NY
National Provider Identifier
1902627698
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
010270 Issued in NC
Practice address
26 W Merritt Blvd
Fishkill, NY 12524-2243
Phone
(845) 896-1310
Fax
(845) 896-7498
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 010270 NC Primary

Addresses

Primary practice location

26 W Merritt Blvd
Fishkill, NY 12524-2243

Mailing address

419 Grand St
Newburgh, NY 12550-3615
Phone (919) 538-2606

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
010270NCMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1902627698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 GRAND ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503615",
            "telephone_number": "919-538-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W MERRITT BLVD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242243",
            "telephone_number": "845-896-1310",
            "fax_number": "845-896-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUMIHE",
        "first_name": "SAMANTHA",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.