NPIMap

Organization Active NPI

Opthalmology Assoc of Statien Island Dba Bridge Opticians

  • Durable Medical Equipment & Medical Supplies
  • Staten Island, NY
National Provider Identifier
1164546610
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS
Practice address
1460 Victory Blvd
Staten Island, NY 10301-3914
Phone
(718) 876-5966
Fax
(718) 876-6097
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Dennis J. Gormley, M.D.
Title
President
Phone
(718) 447-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

1460 Victory Blvd
Staten Island, NY 10301-3914

Mailing address

1460 Victory Blvd
Staten Island, NY 10301-3914
Phone (718) 876-5966

Other identifiers 1

IdentifierTypeStateIssuer
0658870002OtherNYPTAN

Other names 1

  • Bridge Opticians Doing business as

National Provider Directory

National Provider Directory

Locations

914 Bay Ridge Pkwy
#1
Brooklyn, NY 11228
Phone (718) 447-0022

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1164546610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013914",
            "telephone_number": "718-876-5966",
            "fax_number": "718-876-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013914",
            "telephone_number": "718-876-5966",
            "fax_number": "718-876-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-447-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0658870002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.