OrganizationActive
Tj Fancy Enterprises LLC
NPI 1043066624 · Optometrist · Camillus, NY
Tj Fancy Enterprises LLC is a Optometrist organization in Camillus, NY (NPI 1043066624).
Provider details
- NPI number
- 1043066624
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tanya Grevelding, Owner(315) 418-2396
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Kasson Rd Ste C
Camillus, NY 13031-2248
Phone: (315) 487-0327
Fax: (315) 487-4425
Street-level locationGet directions
Mailing address
104 Kasson Rd Ste C
Camillus, NY 13031-2248
Other names (DBA / former)
- Doing business as
- Sterling Optical 131
Registry dates
- Enumerated
- 2024-04-25
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Frequently asked questions
- What is Tj Fancy Enterprises LLC's NPI number?
- Tj Fancy Enterprises LLC's National Provider Identifier (NPI) is 1043066624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tj Fancy Enterprises LLC?
- Tj Fancy Enterprises LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tj Fancy Enterprises LLC located?
- Tj Fancy Enterprises LLC's practice location on file with NPPES is 104 Kasson Rd Ste C, Camillus, NY 13031-2248.
- What is Tj Fancy Enterprises LLC's phone number?
- The practice phone number listed in the NPPES registry for Tj Fancy Enterprises LLC is (315) 487-0327.
- Who is the authorized official for Tj Fancy Enterprises LLC?
- The authorized official listed on Tj Fancy Enterprises LLC's NPPES record is Tanya Grevelding, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tj Fancy Enterprises LLC's NPI active?
- Yes — Tj Fancy Enterprises LLC's NPI (1043066624) is active in the NPPES registry as of the last update on 2024-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.