Organization Active NPI

Matrixx Optics LTD

  • Optometrist
  • Hempstead, NY
National Provider Identifier
1003988916
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006759 Issued in NY
Legal business name
MATRIXX OPTICS LTD
Practice address
216 Fulton Ave # a
Hempstead, NY 11550-3705
Phone
(516) 538-3200
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Mr. Russel Sparer
Title
Pres
Phone
(516) 538-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV006759 NY Primary

Addresses

Primary practice location

216 Fulton Ave # a
Hempstead, NY 11550-3705

Mailing address

216 Fulton Ave # a
Hempstead, NY 11550-3705
Phone (516) 538-3200

Other identifiers 1

IdentifierTypeStateIssuer
02074495MedicaidNY

Other names 1

  • metrovision optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803003546 NY Part B Supplier - Clinic/Group Practice 6406217678 Receives reassigned benefits from 1 practitioner
Practice locations: Hempstead, NY

National Provider Directory

National Provider Directory

Locations

216A Fulton Ave
Hempstead, NY 11550
Phone (516) 538-3200

216 Fulton Ave
#A
Hempstead, NY 11550
Phone (516) 538-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1003988916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FULTON AVE # A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503705",
            "telephone_number": "516-538-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FULTON AVE # A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503705",
            "telephone_number": "516-538-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIXX OPTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "SPARER",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-538-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "metrovision optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "metrovision optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.