SOUTH PARK OPTICAL, INC.
NPI 1700974946
Eyewear Supplier in Blasdell, NY

Active since October 11, 2006
3861 S PARK AVE, BLASDELL, NY 14219(716) 823-6093 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Park Optical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PARK OPTICAL, INC. (NPI 1700974946) is a healthcare organization registered as an eyewear supplier in Blasdell, New York and active in the NPI registry since October 2006. The organization lists James Gordon Beiter, Optician, as its authorized official.

NPPES Registry Identity

NPI1700974946
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSOUTH PARK OPTICAL, INC.
Location Address3861 S PARK AVEBlasdell, NY 14219-1813
Mailing Address3861 S Park AveBlasdell, NY 14219-1813
Organization SubpartNo
Authorized OfficialJames Gordon BeiterOptician · (716) 823-6093
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 5, 2014
NPI 1700974946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in NY · 5093
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License C-5093-1 (NY)
3861 S PARK AVE, Blasdell, NY 14219

Other Identifiers 1

Medicare NSC4512520001NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories South Park Optical Inc carries, from the Medicare DMEPOS supplier directory.

South Park Optical Inc

DMEPOS supplier · Blasdell, NY

Does not accept Medicare assignment

South Park Optical Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20498129
Medicare Participant SinceJuly 1, 2014
Supplier Location3861 S Park AveBlasdell, NY 14219
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3861 S PARK AVE
BLASDELL, NY 14219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Park Optical, Inc.'s NPI number?

The NPI number for South Park Optical, Inc. is 1700974946. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is South Park Optical, Inc. located?

South Park Optical, Inc. is located at 3861 S Park Ave, Blasdell, NY 14219. The listed phone number is (716) 823-6093.

What is South Park Optical, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does South Park Optical, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, South Park Optical Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does South Park Optical, Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list South Park Optical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Park Optical, Inc. was last updated on December 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.