Jeffrey L. Willig, MD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

007090 Issued in NY

Legal business name

JEFFREY L. WILLIG, MD

Practice address

4 Burke LN
Syosset, NY 11791-3931

Phone

(516) 921-8337

Fax

(516) 921-1389

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Lloyd Willig, MD

Title

Owner

Phone

(516) 921-8337

Specialties & licenses 1

Addresses

Other names 1

• Burke Lane Optical Doing business as

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1215134143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BURKE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913931",
            "telephone_number": "516-921-8337",
            "fax_number": "516-921-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURKE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913931",
            "telephone_number": "516-921-8337",
            "fax_number": "516-921-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. WILLIG, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "WILLIG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-921-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "007090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Lane Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Syosset, NY
• Providers in Syosset, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.