WIN VISION BOUTIQUE LLC (NPI# 1871058388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871058388 |
| Entity Type | Organization |
| Organization Name | WIN VISION BOUTIQUE LLC |
| Practice Address |
22 Clifton Country Rd Ste 175 Clifton Park NY 12065-3864 |
| Practice Telephone | 5183711881 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | NICHOLAS SHASHATI (PROFESSIONAL SERVICES) |
| Authorized Official Telephone | 8584143513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Sterling Optical | Doing Business As Name - Organization |
| Street Address |
22 CLIFTON COUNTRY RD STE 175 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217451 | Luxeye Optical LLC | Technician/Technologist | 25121 Northern Blvd, Little Neck, NY 11362-1354 | 2020-08-25 |
| 1952946626 | Bryan Reshawn Trusell | Technician/Technologist | 252 Java St Ste 222, Brooklyn, NY 11222-5598 | 2019-11-16 |
| 1639672058 | Eye Go Optical | Technician/Technologist | 989 Liberty Ave, Brooklyn, NY 11208-2731 | 2018-03-12 |
| 1508233214 | Nyc Optic | Technician/Technologist | 2135 Coney Island Ave, Brooklyn, NY 11223-3331 | 2015-08-28 |
| 1720468176 | Michelle Q Miu | Technician/Technologist | 219 Canal St Fl 3, New York, NY 10013-4114 | 2015-06-01 |
| 1871996504 | Paul Anthony Battiste Jr. | Technician/Technologist | 67 8th Ave, New York, NY 10014-1226 | 2014-10-08 |
| 1861838575 | Felicia Mateo I | Technician/Technologist | 2524 Radcliff Ave, Bronx, NY 10469-4206 | 2013-05-21 |
| 1730400169 | Bruce Alan Pfeffer | Technician/Technologist | 9 Old Post Rd, Fairport, NY 14450-2920 | 2010-06-21 |
| 1720319312 | Marvin Slomowitz | Technician/Technologist | 1221 E 9th St, Brooklyn, NY 11230-5107 | 2010-01-20 |
| 1033358718 | Max Hernandez | Technician/Technologist | 84-02 Roosevelt Ave, Ste #8, Jackson Heights, NY 11372 | 2009-02-19 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.