Organization Active NPI

Southern Tier Optometric Center Inc

  • Optometrist
  • Wellsville, NY
National Provider Identifier
1942280342
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHERN TIER OPTOMETRIC CENTER INC
Practice address
178 N Main St
Wellsville, NY 14895-1152
Phone
(585) 593-6369
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mrs. Sam L Rosenswie
Title
Corporate Business Manager
Phone
(716) 372-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

178 N Main St
Wellsville, NY 14895-1152

Mailing address

178 N Main St
Wellsville, NY 14895-1152
Phone (585) 593-6369

Other names 1

  • Council Optometric Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1942280342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951152",
            "telephone_number": "585-593-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951152",
            "telephone_number": "585-593-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER OPTOMETRIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ROSENSWIE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORPORATE BUSINESS MANAGER",
        "authorized_official_telephone_number": "716-372-9464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.