Organization Active NPI

On Healthcare - Optometry, PLLC

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1922303197
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007663-1 Issued in NY
Legal business name
ON HEALTHCARE - OPTOMETRY, PLLC
Practice address
224 Harrison St
Suite 218
Syracuse, NY 13202-3056
Phone
(248) 528-1981
Fax
(248) 528-2183
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Mr. Shawn H Lilley
Title
Ceo
Phone
(248) 528-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV007663-1 NY Primary

Addresses

Primary practice location

224 Harrison St
Suite 218
Syracuse, NY 13202-3056

Mailing address

100 W Big Beaver Rd
Suite 655
Troy, MI 48084-5206
Phone (248) 528-1981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1922303197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W BIG BEAVER RD",
            "address_2": "SUITE 655",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845206",
            "telephone_number": "248-528-1981",
            "fax_number": "248-528-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HARRISON ST",
            "address_2": "SUITE 218",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023056",
            "telephone_number": "248-528-1981",
            "fax_number": "248-528-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON HEALTHCARE - OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "LILLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-528-1981",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007663-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

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