Organization Active NPI

Optimeyes, Inc.

  • Optometrist
  • Commack, NY
National Provider Identifier
1104949445
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005316-1 Issued in NY
Legal business name
OPTIMEYES, INC.
Practice address
6165 Jericho Tpke
Commack, NY 11725-2835
Phone
(631) 462-9777
Fax
(631) 462-9858
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Debra Cabibi
Title
Owner
Phone
(631) 462-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T005316-1 NY Primary

Addresses

Primary practice location

6165 Jericho Tpke
Commack, NY 11725-2835

Mailing address

6165 Jericho Tpke
Commack, NY 11725-2835
Phone (631) 462-9777

Other names 1

  • Optical Dynasty Doing business as

National Provider Directory

National Provider Directory

Locations

6165 Jericho Tpke
Commack, NY 11725
Phone (631) 462-9777

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1104949445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252835",
            "telephone_number": "631-462-9777",
            "fax_number": "631-462-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252835",
            "telephone_number": "631-462-9777",
            "fax_number": "631-462-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMEYES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CABIBI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-9777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005316-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Dynasty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.