OrganizationActive
Waterloo Ophthalmic Dispensing, PC
NPI 1518199371 · Eyewear Supplier · Waterloo, NY
Waterloo Ophthalmic Dispensing, PC is a Eyewear Supplier organization in Waterloo, NY (NPI 1518199371).
Provider details
- NPI number
- 1518199371
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Daniel Goodman, President/Optician(315) 539-1209
- License
- C004107-1 (NY)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
204 Main Street Shop Ctr
Waterloo, NY 13165-1454
Phone: (315) 539-1209
Fax: (315) 539-1425
Approximate (ZIP-level) locationGet directions
Mailing address
204 Main Street Shop Ctr
Waterloo, NY 13165-1454
Other names (DBA / former)
- Doing business as
- Waterloo Eye Care
Registry dates
- Enumerated
- 2009-08-12
- Last updated
- 2009-08-12
Frequently asked questions
- What is Waterloo Ophthalmic Dispensing, PC's NPI number?
- Waterloo Ophthalmic Dispensing, PC's National Provider Identifier (NPI) is 1518199371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterloo Ophthalmic Dispensing, PC?
- Waterloo Ophthalmic Dispensing, PC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Waterloo Ophthalmic Dispensing, PC located?
- Waterloo Ophthalmic Dispensing, PC's practice location on file with NPPES is 204 Main Street Shop Ctr, Waterloo, NY 13165-1454.
- What is Waterloo Ophthalmic Dispensing, PC's phone number?
- The practice phone number listed in the NPPES registry for Waterloo Ophthalmic Dispensing, PC is (315) 539-1209.
- Who is the authorized official for Waterloo Ophthalmic Dispensing, PC?
- The authorized official listed on Waterloo Ophthalmic Dispensing, PC's NPPES record is Daniel Goodman, President/Optician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterloo Ophthalmic Dispensing, PC's NPI active?
- Yes — Waterloo Ophthalmic Dispensing, PC's NPI (1518199371) is active in the NPPES registry as of the last update on 2009-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.