Provider Demographics
NPI:1851438667
Name:PLACE OPTICAL COMPANY, INC.
Entity Type:Organization
Organization Name:PLACE OPTICAL COMPANY, INC.
Other - Org Name:PLACE EYE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LAPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-538-6435
Mailing Address - Street 1:8663 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-9717
Mailing Address - Country:US
Mailing Address - Phone:585-538-6435
Mailing Address - Fax:
Practice Address - Street 1:8663 E MAIN RD
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-9717
Practice Address - Country:US
Practice Address - Phone:585-538-6435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4431152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00858062Medicaid
NY11765AMedicare PIN
NY0161960001Medicare NSC