Organization Active NPI

Brunell Southdown Opticains, Inc.

  • Optometrist
  • Huntington, NY
National Provider Identifier
1003444811
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRUNELL SOUTHDOWN OPTICAINS, INC.
Practice address
210 Wall St Unit a
Huntington, NY 11743-2092
Phone
(631) 271-0550
NPI assigned
Mar 28, 2020
Last updated
Mar 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Susan B Brunell, ODNPI 1801424841
Title
Owner
Phone
(631) 271-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

210 Wall St Unit a
Huntington, NY 11743-2092

Mailing address

210 Wall St Unit a
Huntington, NY 11743-2092
Phone (631) 271-0550

National Provider Directory

National Provider Directory

Locations

210 Wall St
Unit A
Huntington, NY 11743
Phone (631) 271-0550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585353600000",
    "number": "1003444811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALL ST UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432092",
            "telephone_number": "631-271-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALL ST UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432092",
            "telephone_number": "631-271-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNELL SOUTHDOWN OPTICAINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A",
        "authorized_official_last_name": "BRUNELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.