Organization Active NPI

Spectacles by Catalpa LLC

Doing business as Catalpa Optical

  • Eyewear Supplier
  • Ridgewood, NY
National Provider Identifier
1083338164
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SPECTACLES BY CATALPA LLC
Doing business as
Catalpa Optical
Practice address
857 Seneca Ave
Ridgewood, NY 11385-4844
Phone
(718) 366-3871
Fax
(718) 366-3905
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Liliya YusupovaNPI 1801145214
Title
Owner
Phone
(718) 366-3871

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
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

857 Seneca Ave
Ridgewood, NY 11385-4844

Mailing address

857 Seneca Ave
Ridgewood, NY 11385-4844
Phone (718) 366-3871

Other names 1

  • CATALPA OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

857 Seneca Ave
Ridgewood, NY 11385
Phone (718) 366-3871

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1083338164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854844",
            "telephone_number": "718-366-3871",
            "fax_number": "718-366-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 SENECA AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854844",
            "telephone_number": "718-366-3871",
            "fax_number": "718-366-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACLES BY CATALPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "YUSUPOVA",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-366-3871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATALPA OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.