Creighton Optical is a
Optometrist based in Alden, New York. Creighton Optical is licensed to practice in New York (license number UT003462) and their current practice location is
13375 Broadway St, Alden, New York. It can be reached at their office (for appointments etc.) via phone at
(716) 937-7373.
NPI number for Creighton Optical is 1609099563 and their current mailing address is 13375 Broadway St, Alden, New York. Creighton Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609099563.
Healthcare Provider's Profile
| Full Name | Creighton Optical |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 13375 Broadway St, Alden, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609099563
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 02/14/2008
Medical Identifiers
Medical identifiers for Creighton Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609099563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | UT003462 (New York) | Primary |
| 152W00000X | Optometrist | V0048731 (New York) | Secondary |
| 152W00000X | Optometrist | 3610 (New York) | Secondary |
| 156FX1800X | Technician/technologist - Optician | 2738 (New York) | Secondary |
| 156FX1800X | Technician/technologist - Optician | 6357 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Creighton Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Creighton Optical
13375 Broadway St,
Alden, NY 14004-1410
Ph: (716) 937-7373 | Creighton Optical
13375 Broadway St,
Alden, NY 14004-1410
Ph: (716) 937-7373 |
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