SOUTHERN TIER OPTOMETRY PLLC
NPI 1245500685
Optometrist in Jamestown, NY

Active since January 03, 2012
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 969-1942 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About SOUTHERN TIER OPTOMETRY PLLC

This page provides the complete NPI Profile along with additional information for Southern Tier Optometry Pllc, a provider established in Jamestown, New York operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1245500685 assigned on January 2012. The practitioner's primary taxonomy code is 152W00000X with license number TUV006826 (NY). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kara Irene Gibbs Od (Owner)

NPI
1245500685 Verify this NPI
Provider Name
SOUTHERN TIER OPTOMETRY PLLC
Entity Type
Organization
Location Address
779 FAIRMOUNT AVE JAMESTOWN, NY 14701
Location Phone
(716) 969-1942
Mailing Address
779 FAIRMOUNT AVE JAMESTOWN, NY 14701
Mailing Phone
(716) 969-1942
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2012
Last Update Date
03-15-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
TUV006826
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KARA IRENE GIBBS OD

Authorized Official Title
OWNER
Authorized Official Phone
(716) 969-1942

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Specialist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Radiology (Diagnostic Radiology)
779 FAIRMOUNT AVE, 4TH FLOOR, SUITE 401
JAMESTOWN, NY 14701
Counselor (Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Social Worker (Clinical)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Clinic/Center (Mental Health (Including Community Mental Health Center))
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245500685, enumerated as an "organization" on January 03, 2012.

The provider is located at 779 FAIRMOUNT AVE JAMESTOWN, NY 14701 and the phone number is (716) 969-1942.

Optometrist with taxonomy code 152W00000X.