Designer Optical Center

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0073681 Issued in NY

Legal business name

DESIGNER OPTICAL CENTER

Practice address

8028 Cooper Ave. Suite #6-106
Glendale, NY 11378

Phone

(718) 738-9888

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Solomon Matatov

Title

President

Phone

(917) 721-7324

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1114453388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 COOPER AVE. SUITE #6-106",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "718-738-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 COOPER AVE. SUITE #6-106",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11378",
            "telephone_number": "718-738-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "MATATOV",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-721-7324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0073681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Delgado, LMSW
• Lissette Marcelle Delgado, O.T.
• Selena Delgado, MS ED.
• Lauren Paula Demaio
• Dina Derilas, MS
• Gina Marie Devine, RPA-C
• Laura Francesca Di Gangi, MSED
• Carmen Diaz, M.A.
• Kristy Dice, SLP
• Marguerita Dichiara, OTR

• Optician in Glendale, NY
• Providers in Glendale, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.