Wny Southtowns Optometry PLLC
NPI 1417573411 · Optometrist · Fredonia, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wny Southtowns Optometry PLLC is a Optometrist organization in Fredonia, NY (NPI 1417573411).
Provider details
- NPI number
- 1417573411
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Natalie Swanson, Owner Optometrist(901) 493-0521
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- 716 Eye Care
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2022-07-18
- Certified
- 2022-07-14
Frequently asked questions
- What is Wny Southtowns Optometry PLLC's NPI number?
- Wny Southtowns Optometry PLLC's National Provider Identifier (NPI) is 1417573411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wny Southtowns Optometry PLLC?
- Wny Southtowns Optometry PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Wny Southtowns Optometry PLLC located?
- Wny Southtowns Optometry PLLC's practice location on file with NPPES is 112 W Main St Ste 2, Fredonia, NY 14063-2149.
- What is Wny Southtowns Optometry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wny Southtowns Optometry PLLC is (901) 493-0521.
- Does Wny Southtowns Optometry PLLC accept Medicare?
- Wny Southtowns Optometry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wny Southtowns Optometry PLLC?
- The authorized official listed on Wny Southtowns Optometry PLLC's NPPES record is Natalie Swanson, Owner Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wny Southtowns Optometry PLLC's NPI active?
- Yes — Wny Southtowns Optometry PLLC's NPI (1417573411) is active in the NPPES registry as of the last update on 2022-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.