Active NPI
Felix Smotritskiy, OPTICIAN
- Optician
- New York, NY
National Provider Identifier
1174845044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 007557-1
- Practice address
- 430 2ND Ave
New York, NY 10010-4002 - Phone
- (212) 481-6690
- Fax
- (212) 481-6690
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 007557-1 | NY | Primary |
Addresses
Primary practice location
430 2ND Ave
New York, NY 10010-4002
Mailing address
430 2ND Ave
New York, NY 10010-4002
Phone (212) 481-6690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007557-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Optique on 2ND Ave. Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- New York, NY
- NPI 1275853079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1174845044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104002",
"telephone_number": "212-481-6690",
"fax_number": "212-481-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104002",
"telephone_number": "212-481-6690",
"fax_number": "212-481-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTRITSKIY",
"first_name": "FELIX",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "007557-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.