Active NPI
Matthew J Riordan, ABO/NCLE
- Optician
- Buffalo, NY
National Provider Identifier
1952642779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- C-008717
- Practice address
- 49 Court St
Buffalo, NY 14202-3102 - Phone
- (716) 465-6408
- Fax
- (716) 836-4156
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | C-008717 | NY | Primary |
Addresses
Primary practice location
49 Court St
Buffalo, NY 14202-3102
Mailing address
49 Court St
Buffalo, NY 14202-3102
Phone (716) 465-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-008717 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1952642779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 COURT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142023102",
"telephone_number": "716-465-6408",
"fax_number": "716-836-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 COURT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142023102",
"telephone_number": "716-465-6408",
"fax_number": "716-836-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "MATTHEW",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "ABO/NCLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C-008717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.