Sunrise Optical Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SUNRISE OPTICAL CORP

Practice address

2210 Sunrise Mall
Massapequa, NY 11758-4348

Phone

(516) 795-2112

Fax

(516) 795-2167

NPI assigned

Mar 31, 2014

Organization subpart

No

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

Authorized official

Name

Laura Valentin

Title

Credentialing Manager

Phone

(212) 792-8149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Distefano, OD

  • Optometrist
  • Northport, NY
  • NPI 1235618620
  Medicare reassignment NPD
• Yael E. Gatenio, O.D.

  • Optometrist
  • Massapequa, NY
  • NPI 1750462156
  Medicare reassignment

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1104244847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584348",
            "telephone_number": "516-795-2112",
            "fax_number": "516-795-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SUNRISE MALL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584348",
            "telephone_number": "516-795-2112",
            "fax_number": "516-795-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "212-792-8149"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dory Harris Stutman, DDS
• Bryan Suazo, L.AC., L.M.T.
• Sukhjitkaur LLC
• Sunrise Eyes Inc
• Sunrise Mall Dental PC
• Sunrise Therapeutics Corp
• Manisha Suri, DDS
• Susan E. Young OT PC
• SVR Pediatric OT PC
• Billie Marie Sweeney, TEACHER

• Eyewear Supplier in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.