Organization Active NPI

Brian K Berliner O D P C

  • Optometrist
  • Huntington Station, NY
National Provider Identifier
1124202569
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004257 Issued in NY
Legal business name
BRIAN K BERLINER O D P C
Practice address
160 Route 110 # a
Huntington Station, NY 11746-4130
Phone
(631) 351-5355
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Brian Berliner, O.D.
Title
President
Phone
(631) 351-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004257 NY Primary

Addresses

Primary practice location

160 Route 110 # a
Huntington Station, NY 11746-4130

Mailing address

160 Route 110 # a
Huntington Station, NY 11746-4130

National Provider Directory

National Provider Directory

Locations

160 Walt Whitman Rd
#A
Huntington Station, NY 11746
Phone (631) 351-5355

160 Walt Whitman Rd
Ste A
Huntington Station, NY 11746
Phone (631) 351-5355

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1124202569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROUTE 110 # A",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROUTE 110 # A",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464130",
            "telephone_number": "631-351-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K BERLINER O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BERLINER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-351-5355",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.