Optimum Vision, Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005761-1 Issued in NY

Legal business name

OPTIMUM VISION, CORP

Doing business as

General Vision Services

Practice address

210 Broadway Mall
Hicksville, NY 11801-2709

Phone

(516) 938-0055

Fax

(516) 938-8667

NPI assigned

Sep 25, 2008

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Ericksen

Title

Office Assistant

Phone

(718) 477-6700

Specialties & licenses 1

Addresses

Other names 1

• General Vision Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Taub, O.D.

  • Optometrist
  • Hicksville, NY
  • NPI 1417075458
  NPD

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1124278270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012709",
            "telephone_number": "516-938-0055",
            "fax_number": "516-938-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012709",
            "telephone_number": "516-938-0055",
            "fax_number": "516-938-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM VISION, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "718-477-6700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Vision Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Orbe, MA
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• Christopher Marshall Ostling, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.