Michelle Niemiec, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

010085 Issued in NY

Practice address

1097 Route 55 Ste 4
Lagrangeville, NY 12540-5027

Phone

(845) 471-7710

Fax

(845) 471-7746

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Eye Sparkle Optical Corporation

  • Optometrist
  • Poughkeepsie, NY
  • NPI 1952835167

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1982105037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 ROUTE 55 STE 4",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405027",
            "telephone_number": "845-471-7710",
            "fax_number": "845-471-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 ROUTE 55 STE 4",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405027",
            "telephone_number": "845-471-7710",
            "fax_number": "845-471-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "MICHELLE",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "010085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05180227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Ann Montera, PT, DPT
• Jacqueline Moreira, R.N.
• Diane Marie Morrison, PT
• Sean Michael Murphy, PAC
• Ellen W Newhard, RN
• Stephen C. Nippert, DVM
• Nuvance Health Medical Practice, PC
• Kimberly A O'Connor, LCSW
• Michelle Grace O'Hare Hogan, MS ED
• Olivia Medicine PC

• Optician in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.