PALAK BUTALA (NPI# 1730563305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730563305 |
| Entity Type | Individual |
| Full Name | PALAK BUTALA |
| Credential | O.D. |
| Practice Address |
2965 Sheridan Dr Tonawanda NY 14150-9418 |
| Mailing Address |
3095 Harlem Rd Cheektowaga NY 14225-2500 |
| Practice Telephone | 7162629297 |
| Mailing Telephone | 7168968831 |
| Mailing Fax Number | 7168962318 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV008339 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE LICENSE NUMBER | TUV008339 | 01 |
| Street Address |
2965 SHERIDAN DR |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780966275 | Daniel & Max, LLC | Optometrist | 2965 Sheridan Dr, Tonawanda, NY 14150-9418 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780966275 | Daniel & Max, LLC | Optometrist | 2965 Sheridan Dr, Tonawanda, NY 14150-9418 | 2011-09-12 |
| 1174718340 | Steve Kasprzak | Optometrist | 642 Sheridan Dr, Tonawanda, NY 14150-7853 | 2007-09-11 |
| 1346464351 | Council Opticians of Tonawanda Inc | Optometrist | 4244 Delaware Avenue, Tonawanda, NY 14150-6120 | 2007-04-12 |
| 1093846396 | Concetta Di Zazzo | Optometrist | 1308 Niagara Falls Blvd, Tonawanda, NY 14150-8917 | 2007-03-08 |
| 1134124597 | Jocelyn Krygier Murphy | Optometrist | 2126 Niagara Falls Blvd, Tonawanda, NY 14150-4700 | 2005-06-14 |
| 1558920413 | Madeline Rose Bartels | Optometrist | 2126 Niagara Falls Blvd, Tonawanda, NY 14150-4700 | 2019-06-13 |
| 1710465349 | John Iskander | Optometrist | 2810 Sheridan Dr, Tonawanda, NY 14150-9419 | 2018-08-06 |
| 1053691733 | Ahlam P Chaudhry | Optometrist | 2810 Sheridan Dr, Tonawanda, NY 14150-9419 | 2011-08-25 |
| 1356578983 | Ladota Optometry, PC | Optometrist | 448 Delaware St, Tonawanda, NY 14150-3944 | 2009-06-22 |
| 1306060322 | Sharon Lynn Schutz | Optometrist | 4244 Delaware Avenue, Council Opticians of Tonawanda Inc, Tonawanda, NY 14150-6120 | 2007-04-12 |
| Find all providers in TONAWANDA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.