Individual provider Active NPI

Sherwin W Brownsten, OPTICIAN

  • Optician
  • Lockport, NY
National Provider Identifier
1962526814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004097-1 Issued in NY
Practice address
36 East Ave
Lockport, NY 14094-3708
Phone
(716) 434-6900
Fax
(716) 434-8461
NPI assigned
Mar 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 004097-1 NY Primary

Addresses

Primary practice location

36 East Ave
Lockport, NY 14094-3708

Mailing address

36 East Ave
Lockport, NY 14094-3708
Phone (716) 434-6900

Other identifiers 1

IdentifierTypeStateIssuer
00640799MedicaidNY

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

LicenseStateTypeSpecialty
004097-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Binghamton Optical Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962526814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943708",
            "telephone_number": "716-434-6900",
            "fax_number": "716-434-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943708",
            "telephone_number": "716-434-6900",
            "fax_number": "716-434-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSTEN",
        "first_name": "SHERWIN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004097-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00640799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.