Active NPI
Alexander R Crinzi, OD
- Optometrist
- Orchard Park, NY
National Provider Identifier
1962465005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT003610-1
- Practice address
- 15 Fox Chapel Dr
Orchard Park, NY 14127-3023 - Phone
- (716) 662-7578
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT003610-1 | NY | Primary |
Addresses
Primary practice location
15 Fox Chapel Dr
Orchard Park, NY 14127-3023
Mailing address
15 Fox Chapel Dr
Orchard Park, NY 14127-3023
Phone (716) 662-7578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025474702 | Other | NY | UNIVERA |
| 00887458 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT003610-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1962465005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FOX CHAPEL DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273023",
"telephone_number": "716-662-7578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FOX CHAPEL DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273023",
"telephone_number": "716-662-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRINZI",
"first_name": "ALEXANDER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT003610-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025474702",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00887458",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.