NPIMap

Organization Active NPI

Main St. Optical

  • Optician
  • Monsey, NY
National Provider Identifier
1194094227
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004341-1 Issued in NY
Legal business name
MAIN ST. OPTICAL
Practice address
39 Main St
Monsey, NY 10952-3005
Phone
(845) 517-5459
Fax
(845) 517-5460
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. Avrohom A. ManesNPI 1134540875
Title
Manager
Phone
(845) 517-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 004341-1 NY Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

39 Main St
Monsey, NY 10952-3005

Mailing address

39 Main St
Monsey, NY 10952-3005
Phone (845) 517-5459

National Provider Directory

National Provider Directory

Locations

39 Main St
Monsey, NY 10952
Phone (845) 517-5459

Practitioners & affiliated clinicians

Practitioners 2

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": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1194094227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAIN ST",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523005",
            "telephone_number": "845-517-5459",
            "fax_number": "845-517-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MAIN ST",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523005",
            "telephone_number": "845-517-5459",
            "fax_number": "845-517-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN ST. OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MANES",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-517-5459",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004341-1",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.