Organization Active NPI

Specs RX, Inc.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1124216791
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPECS RX, INC.
Practice address
362 Livingston St
Brooklyn, NY 11217-1028
Phone
(718) 643-0742
Fax
(718) 643-0744
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Dally-Ann Bressler
Title
President
Phone
(718) 643-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NY Primary

Addresses

Primary practice location

362 Livingston St
Brooklyn, NY 11217-1028

Mailing address

362 Livingston St
Brooklyn, NY 11217-1028
Phone (718) 643-0742

Other identifiers 1

IdentifierTypeStateIssuer
02883690MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1124216791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171028",
            "telephone_number": "718-643-0742",
            "fax_number": "718-643-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 LIVINGSTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171028",
            "telephone_number": "718-643-0742",
            "fax_number": "718-643-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECS RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BRESSLER",
        "authorized_official_first_name": "DALLY-ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-643-0742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.