Nancy D. Conley, OPTICIAN
Individual provider Active NPI Optician · Cortland, NY
NPI 1932255809 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1932255809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 005031-1 (NY)
- Practice address
- 3662 The Park
Cortland, NY 13045-3324 - Phone
- (607) 753-7514
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005031-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optivision | Optician | Past | Accepting new patients |
| John J Maurillo Odpc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 005031-1 | NY | Yes |
Addresses
Primary practice location
3662 The Park
Cortland, NY 13045-3324
Mailing address
111 Merman Dr
De Witt, NY 13214-1160
Phone (315) 885-1956
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.