NPIMap

Organization Active NPI

Fulton Optical Corp

  • Durable Medical Equipment & Medical Supplies
  • Gloversville, NY
National Provider Identifier
1073790002
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
008209 Issued in NY
Legal business name
FULTON OPTICAL CORP
Practice address
189 Second Ave
Gloversville, NY 12078-2510
Phone
(518) 725-3513
Fax
(518) 725-3030
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. Dean Michael Brumaghim, OPTITIANNPI 1538299656
Title
Owner/Operator
Phone
(518) 725-3513

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
Durable Medical Equipment & Medical Supplies 332B00000X 008209 NY Primary

Addresses

Primary practice location

189 Second Ave
Gloversville, NY 12078-2510

Mailing address

189 Second Ave
Gloversville, NY 12078-2510
Phone (518) 725-3513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1073790002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SECOND AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782510",
            "telephone_number": "518-725-3513",
            "fax_number": "518-725-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 SECOND AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782510",
            "telephone_number": "518-725-3513",
            "fax_number": "518-725-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BRUMAGHIM",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "518-725-3513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTITIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "008209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.