East Avenue Vision Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

003342 Issued in NY

Legal business name

EAST AVENUE VISION CENTER

Practice address

215 East Ave
Lockport, NY 14094-3812

Phone

(716) 434-2874

NPI assigned

May 20, 2011

Last updated

May 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Heschke

Title

Office

Phone

(716) 434-2874

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa Renee Seider, OD

  • Optometrist
  • Amherst, NY
  • NPI 1558048728
  NPD (past)
• Sarah Ann Shaw, O.D.

  • Optometrist
  • Warsaw, NY
  • NPI 1720492440
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1912290123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943812",
            "telephone_number": "716-434-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943812",
            "telephone_number": "716-434-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AVENUE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "HESCHKE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "716-434-2874"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "003342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ashley Dugan, BA
• Courtney Elizabeth Dunn, PA
• Madison D Durham, PA
• Patricia Anne Durlak, COTA
• Maria Janine Dziekan, PA-C
• Eastern Niagara Dentistry PLLC
• Eastern Niagara Hospital
• Eastern Niagara Hospital Inc
• Eastern Niagara Hospital, Inc
• Eastern Niagara Medical Group

• Exclusive Provider Organization in Lockport, NY
• Providers in Lockport, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.