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Mackenzie Bourdon

Technician/Technologist - Optician β€’ Liverpool, NY

Active NPI 1013735752 Individual Practitioner Female Practitioner
Practice location in NPPES

8770 Dell Center Dr
Liverpool, NY 130908700

Call 3156229260 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8770 Dell Center Dr

Liverpool, NY 130908700

Telephone 3156229260
Fax 3156525320
Organization at the Same NPPES Address or Phone
Wal-Mart Stores East Lp Facility NPI 1780601856

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Liverpool and New York

6 active clinicians are listed under Technician/Technologist - Optician with a practice address in Liverpool, NY (1,141 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-19
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

License # reported to NPPES NY 010586-01

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2024

Technician/Technologist (license number reported to NPPES: NY 010586-01)

βœ…
NPI Profile Active October 04, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2024

Registered at 8770 DELL CENTER DR, LIVERPOOL, NY 130908700 (Tel: 3156229260)

πŸ“
Business Mailing Address (Initial Record) October 04, 2024

Registered at 8770 DELL CENTER DR, LIVERPOOL, NY 130908700 (Tel: 3156229260)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2024

Recorded as MACKENZIE BOURDON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Technician/Technologist (license number reported to NPPES: NY 010586-01)

🟒
Initial NPI Registration & Enumeration October 01, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013735752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2024
Last Update: December 19, 2024
Sole Proprietor: Yes

Mailing Address

8770 Dell Center Dr

Liverpool, NY 130908700

Phone: 3156229260

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.