NPIMap

Organization Active NPI

Fort Tryon Optical Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1215238282
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T045261 Issued in NY
Legal business name
FORT TRYON OPTICAL INC.
Practice address
4530 Broadway
New York, NY 10040-2429
Phone
(212) 304-3585
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Lioudmila Saperson
Title
President
Phone
(212) 304-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T045261 NY Primary

Addresses

Primary practice location

4530 Broadway
New York, NY 10040-2429

Mailing address

4530 Broadway
New York, NY 10040-2429

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1215238282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402429",
            "telephone_number": "212-304-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT TRYON OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "SAPERSON",
        "authorized_official_first_name": "LIOUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-304-3585"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T045261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 8, 2010; 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.