Marc Mishan O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARC MISHAN O.D., P.C.

Practice address

8227 153Rd Ave
Howard Beach, NY 11414-1751

Phone

(718) 738-3700

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marc Mishan, O.D.

Title

Manager

Phone

(718) 738-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1124146667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 153RD AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141751",
            "telephone_number": "718-738-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 153RD AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141751",
            "telephone_number": "718-738-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MISHAN O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MISHAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-738-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Maniscalco, RN
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• Lawrence John Marino, M.D.
• Milany Marquez, RN
• Stephanie M Martin
• Cara Loreal Maruca

• Optometrist in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.