Universal Optometry P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 006926 Issued in NY

Legal business name

UNIVERSAL OPTOMETRY P.C.

Practice address

7259 Kissena Blvd
Flushing, NY 11367-2723

Phone

(718) 896-1934

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carol Sidhar

Title

Administration

Phone

(718) 896-1934

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1124118922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672723",
            "telephone_number": "718-896-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7259 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672723",
            "telephone_number": "718-896-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "SIDHAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "718-896-1934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02825363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.