Organization Active NPI

Sol Kozak Opticians

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1215078431
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
14228 Issued in TX
Legal business name
SOL KOZAK OPTICIANS
Practice address
1106 Lexington Ave
New York, NY 10075-0303
Phone
(212) 535-7272
Fax
(212) 535-7396
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Mr. Sol Kozak
Title
Owner
Phone
(212) 535-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 14228 TX Primary

Addresses

Primary practice location

1106 Lexington Ave
New York, NY 10075-0303

Mailing address

1106 Lexington Ave
New York, NY 10075-0303
Phone (212) 535-7272

Other names 1

  • Loft Opticians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930099643 NY DME Supplier - Optician 2961520317 1 other NPI on this enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1106 Lexington Ave
New York, NY 10075
Phone (212) 535-7272

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1215078431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750303",
            "telephone_number": "212-535-7272",
            "fax_number": "212-535-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750303",
            "telephone_number": "212-535-7272",
            "fax_number": "212-535-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL KOZAK OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-535-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loft Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.