Organization Active NPI

RNB Optical, Inc.

  • Optometrist
  • Bay Shore, NY
National Provider Identifier
1043342967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY TUV006870-1 Issued in NY
Legal business name
RNB OPTICAL, INC.
Practice address
8 Saxon Avenue
Suite B
Bay Shore, NY 11706
Phone
(631) 666-1900
Fax
(631) 666-1983
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nick Russo
Title
Owner
Phone
(631) 666-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY TUV006870-1 NY Primary

Addresses

Primary practice location

8 Saxon Avenue
Suite B
Bay Shore, NY 11706

Mailing address

8 Saxon Avenue
Suite B
Bay Shore, NY 11706
Phone (631) 666-1900

Other names 1

  • Eye Supply of Bay Shore Doing business as

National Provider Directory

National Provider Directory

Locations

8 Saxon Ave
Ste B
Bay Shore, NY 11706
Phone (631) 328-2624

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043342967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAXON AVENUE",
            "address_2": "SUITE B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-1900",
            "fax_number": "631-666-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SAXON AVENUE",
            "address_2": "SUITE B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-1900",
            "fax_number": "631-666-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNB OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-666-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY TUV006870-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Supply of Bay Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.