Organization Active NPI

Magna Vision Optometry Care PC

  • Optometrist
  • Roslyn Heights, NY
National Provider Identifier
1134570351
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007058 Issued in NY
Legal business name
MAGNA VISION OPTOMETRY CARE PC
Practice address
124 Glen Cove Rd
Roslyn Heights, NY 11577-1718
Phone
(516) 277-2414
Fax
(516) 629-6754
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Dr. Veranika Sherman, O.D.
Title
President
Phone
(646) 610-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 007058 NY Primary

Addresses

Primary practice location

124 Glen Cove Rd
Roslyn Heights, NY 11577-1718

Mailing address

124 Glen Cove Rd
Roslyn Heights, NY 11577-1718
Phone (516) 277-2414

Other identifiers 1

IdentifierTypeStateIssuer
1750494852OtherPERSONAL NPI

Other names 1

  • SoHo Optique Doing business as

National Provider Directory

National Provider Directory

Locations

124 Glen Cove Rd
Roslyn Heights, NY 11577
Phone (516) 231-1071

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1134570351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GLEN COVE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771718",
            "telephone_number": "516-277-2414",
            "fax_number": "516-629-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GLEN COVE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771718",
            "telephone_number": "516-277-2414",
            "fax_number": "516-629-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA VISION OPTOMETRY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "VERANIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-610-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1750494852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoHo Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.