The Wandering Eye

Primary specialty

OptometristTaxonomy code 152W00000X

License

007084 Issued in NY

Legal business name

THE WANDERING EYE

Practice address

526 North 12TH St
New Hyde Park, NY 11040-4340

Phone

(516) 318-5183

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey S Roth, FNAO

Title

Optician Owner

Phone

(516) 378-5183

Specialties & licenses 1

Addresses

Other names 1

• Jeff Roth Other name

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093831497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NORTH 12TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404340",
            "telephone_number": "516-318-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NORTH 12TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404340",
            "telephone_number": "516-318-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WANDERING EYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "516-378-5183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff Roth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arvin Thachara, NP
• Babu Punnan Thachara
• Ravi Thakore
• Tanya J Thakur, PA-C
• Unnikrishnan Narayanan Thampy, MD
• Thomas Barbaro D.P.M. P.C.
• Thomas Joseph Palmieri, M.D. , P.C.
• Thomas P Mathew MD PC
• Ambili Thomas, NP
• Ashby Thomas, M.D.

• Optometrist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Optometrist in New York

• 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.