New York Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002974 Issued in NY

Legal business name

NEW YORK OPTICAL INC

Practice address

48 Graham Ave
Brooklyn, NY 11206-4002

Phone

(718) 388-7400

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Tabachnick, OD

Title

President

Phone

(718) 388-7400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1083723845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COUNTRY MEADOW CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472026",
            "telephone_number": "718-388-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064002",
            "telephone_number": "718-388-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "TABACHNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-388-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.