Active NPI
Denise R Jones, LDO
- Optician
- Ridgewood, NY
National Provider Identifier
1215577507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009819
- Practice address
- 6115 Metropolitan Ave # Store549
Ridgewood, NY 11385-2644 - Phone
- (718) 312-6959
- Fax
- (718) 497-1055
- NPI assigned
- Jan 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009819 | NY | Primary |
Addresses
Primary practice location
6115 Metropolitan Ave # Store549
Ridgewood, NY 11385-2644
Mailing address
6115 Metropolitan Ave # Store549
Ridgewood, NY 11385-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009819 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1215577507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 METROPOLITAN AVE # STORE549",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113852644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 METROPOLITAN AVE # STORE549",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113852644",
"telephone_number": "718-312-6959",
"fax_number": "718-497-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DENISE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.