Jack Doby Garden City, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

JACK DOBY GARDEN CITY, LLC

Doing business as

Jack Doby, Inc

Practice address

Jack Doby Garden City, LLC
928 Old Country Road
Garden City, NY 11530

Phone

(516) 394-0001

Fax

(516) 394-0003

NPI assigned

Jan 7, 2019

Last updated

Jan 14, 2019By 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

Bruce Zagelbaum

Title

President

Phone

(516) 394-0001

Specialties & licenses 1

Addresses

Other names 1

• Jack Doby, Inc Doing business as

Locations

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1144793720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JACK DOBY GARDEN CITY, LLC",
            "address_2": "928 OLD COUNTRY ROAD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-394-0001",
            "fax_number": "516-394-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACK DOBY GARDEN CITY, LLC",
            "address_2": "928 OLD COUNTRY ROAD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-394-0001",
            "fax_number": "516-394-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK DOBY GARDEN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "ZAGELBAUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-394-0001"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack Doby, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Garden City, NY
• Providers in Garden City, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.