Active NPI
Suzanne Marie Lee - O'Neil
- Optometric Technician
- Vestal, NY
National Provider Identifier
1992933659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometric Technician
- License
- 008613-1
- Practice address
- 2405 Vestal Parkway East
Vestal, NY 13850-2018 - Phone
- (607) 798-1475
- Fax
- (607) 798-9053
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometric Technician | 156FX1202X | 008613-1 | NY | Primary |
Addresses
Primary practice location
2405 Vestal Parkway East
Vestal, NY 13850-2018
Mailing address
2405 Vestal Parkway East
#1835
Vestal, NY 13850-2018
Phone (607) 798-1475
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 |
|---|---|---|---|
| 008613-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1992933659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 VESTAL PARKWAY EAST",
"address_2": "#1835",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502018",
"telephone_number": "607-798-1475",
"fax_number": "607-798-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 VESTAL PARKWAY EAST",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502018",
"telephone_number": "607-798-1475",
"fax_number": "607-798-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE - O'NEIL",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1202X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optometric Technician",
"state": "NY",
"license": "008613-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.