Organization Active NPI

Grand Spectacle Inc.

  • Optician
  • Maspeth, NY
National Provider Identifier
1215075809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
NY3969 Issued in NY
Legal business name
GRAND SPECTACLE INC.
Practice address
6660 Grand Ave
Maspeth, NY 11378-2531
Phone
(718) 424-1924
Fax
(718) 424-0992
NPI assigned
Feb 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Didonato, OPTICIAN
Title
Optician
Phone
(718) 424-1924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X NY3969 NY Primary

Addresses

Primary practice location

6660 Grand Ave
Maspeth, NY 11378-2531

Mailing address

6660 Grand Ave
Maspeth, NY 11378-2531
Phone (718) 424-1924

National Provider Directory

National Provider Directory
Tax ID family
Grand Spectacle Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215075809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-424-1924",
            "fax_number": "718-424-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782531",
            "telephone_number": "718-424-1924",
            "fax_number": "718-424-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SPECTACLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIDONATO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-424-1924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "NY3969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.