Organization Active NPI

Silbert Optical, Inc.

  • Optician
  • Auburn, NY
National Provider Identifier
1932307014
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C006767-1 Issued in NY
Legal business name
SILBERT OPTICAL, INC.
Practice address
97 Genesee St
Auburn, NY 13021-3615
Phone
(315) 253-7032
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mr. Mark Andrew Divietro, OPTICIAN
Title
Owner
Phone
(315) 253-7032

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV004966-1 NY
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X C006767-1 NY Primary

Addresses

Primary practice location

97 Genesee St
Auburn, NY 13021-3615

Mailing address

97 Genesee St
Auburn, NY 13021-3615
Phone (315) 253-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930088287 NY DME Supplier - Optician 6901906163 Practice locations: Auburn, NY
O20230508001262 NY Part B Supplier - Clinic/Group Practice 6901906163 Receives reassigned benefits from 3 practitioners
Practice locations: Auburn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Silbert Optical, Inc.97 Genesee St, Auburn, NY 13021-3615(315) 253-7032 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 22, 2007

National Provider Directory

National Provider Directory

Locations

97 Genesee St
Auburn, NY 13021
Phone (315) 253-7032

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1932307014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213615",
            "telephone_number": "315-253-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213615",
            "telephone_number": "315-253-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILBERT OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "DIVIETRO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-253-7032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004966-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C006767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.