NPIMap

Organization Active NPI

P & R Optical

  • Optician
  • Brooklyn, NY
National Provider Identifier
1063718229
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C009086 Issued in NY
Legal business name
P & R OPTICAL
Practice address
711 Avenue U
Brooklyn, NY 11223-4133
Phone
(347) 587-6565
Fax
(347) 587-6565
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mr. Roman MostovoyNPI 1518260769
Title
Licensed Optician
Phone
(347) 587-6565

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X C009086 NY Primary

Addresses

Primary practice location

711 Avenue U
Brooklyn, NY 11223-4133

Mailing address

711 Avenue U
Brooklyn, NY 11223-4133
Phone (347) 587-6565

National Provider Directory

National Provider Directory

Locations

711 Avenue U
Brooklyn, NY 11223
Phone (347) 587-6565

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": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1063718229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234133",
            "telephone_number": "347-587-6565",
            "fax_number": "347-587-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234133",
            "telephone_number": "347-587-6565",
            "fax_number": "347-587-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "MOSTOVOY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "347-587-6565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C009086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.