Active NPI
Sol Kozak Opticians
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1215078431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14228
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.