Active NPI
Pro Optics Corp
- Optometrist
- Bronx, NY
National Provider Identifier
1013171149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005957-1
- Legal business name
- PRO OPTICS CORP
- Practice address
- 2483 Grand Concourse
Bronx, NY 10468-5443 - Phone
- (718) 933-0187
- NPI assigned
- Jul 17, 2008
- Last updated
- Mar 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Ericksen
- Title
- Assistant
- Phone
- (718) 933-0187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005957-1 | NY | Primary |
Addresses
Primary practice location
2483 Grand Concourse
Bronx, NY 10468-5443
Mailing address
2483 Grand Concourse
Bronx, NY 10468-5443
Phone (718) 933-0187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2483 Grand Concourse
Bronx, NY 10468
Phone (718) 933-0187
Practitioners & affiliated clinicians
Practitioners 10
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.
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- Bronx, NY
- NPI 1609559418
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- Optometrist
- New York, NY
- NPI 1518372804
-
- Optometrist
- Richmond Hill, NY
- NPI 1760897383
-
- Optometrist
- New York, NY
- NPI 1861598641
-
- Optometrist
- New York, NY
- NPI 1548642606
-
- Optometrist
- New York, NY
- NPI 1437244217
-
- Optometrist
- New York, NY
- NPI 1750379087
-
- Optometrist
- Bronx, NY
- NPI 1518875038
-
- Optometrist
- Brooklyn, NY
- NPI 1982647541
-
- Optometrist
- Miami Beach, FL
- NPI 1891869053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520294400000",
"number": "1013171149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104685443",
"telephone_number": "718-933-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2483 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104685443",
"telephone_number": "718-933-0187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO OPTICS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-17",
"last_updated": "2018-03-06",
"status": "A",
"authorized_official_last_name": "ERICKSEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "718-933-0187"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005957-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.