Organization Active NPI

Robglenn Optical, Inc.

  • Optometrist
  • Merrick, NY
National Provider Identifier
1124341193
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003913 Issued in NY
Legal business name
ROBGLENN OPTICAL, INC.
Practice address
2253 Merrick Rd
Merrick, NY 11566-4746
Phone
(516) 771-3131
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Glenn Reimer
Title
Owner/Optometrist
Phone
(516) 771-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003913 NY Primary

Addresses

Primary practice location

2253 Merrick Rd
Merrick, NY 11566-4746

Mailing address

2253 Merrick Rd
Merrick, NY 11566-4746
Phone (516) 771-3131

Other names 1

  • Eyeworks Town Plaza Doing business as

National Provider Directory

National Provider Directory

Locations

2253 Merrick Rd
Merrick, NY 11566
Phone (516) 771-3131

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1124341193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664746",
            "telephone_number": "516-771-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664746",
            "telephone_number": "516-771-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBGLENN OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "516-771-3131"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworks Town Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.