Whitestone Vision Center

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005672-1 Issued in NY

Legal business name

WHITESTONE VISION CENTER

Practice address

15012 14TH Ave
Whitestone, NY 11357-1800

Phone

(718) 746-3937

Fax

(718) 747-6442

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward S. Marum

Title

Vice President

Phone

(718) 746-3937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124168430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-3937",
            "fax_number": "718-747-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-3937",
            "fax_number": "718-747-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARUM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-746-3937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Whitestone, NY
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• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.