Organization Active NPI

Council Eye Care Inc

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1962696443
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COUNCIL EYE CARE INC
Practice address
4243 Transit Rd
Transitown Plaza
Williamsville, NY 14221-7205
Phone
(716) 633-2440
Fax
(716) 633-6109
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Matthew R Myers, O.D.NPI 1306915186
Title
President
Phone
(716) 633-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4243 Transit Rd
Transitown Plaza
Williamsville, NY 14221-7205

Mailing address

4243 Transit Rd
Transitown Plaza
Williamsville, NY 14221-7205
Phone (716) 633-2440

Other identifiers 1

IdentifierTypeStateIssuer
00736645MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000739 NY Part B Supplier - Clinic/Group Practice 4082652433 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

4243 Transit Rd
Williamsville, NY 14221
Phone (716) 633-2440

Practitioners & affiliated clinicians

Practitioners 4

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1962696443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 TRANSIT RD",
            "address_2": "TRANSITOWN PLAZA",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-633-2440",
            "fax_number": "716-633-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 TRANSIT RD",
            "address_2": "TRANSITOWN PLAZA",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-633-2440",
            "fax_number": "716-633-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-633-2440",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00736645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.