Organization Active NPI

Vision Center of Whitestone

  • Optometrist
  • Whitestone, NY
National Provider Identifier
1215581129
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CENTER OF WHITESTONE
Practice address
15012 14TH Ave
Whitestone, NY 11357-1800
Phone
(718) 746-3937
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Edward Marum
Title
Optician
Phone
(516) 317-5516

Specialties & licenses 1

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

Addresses

Primary practice location

15012 14TH Ave
Whitestone, NY 11357-1800

Mailing address

15012 14TH Ave
Whitestone, NY 11357-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1215581129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800",
            "telephone_number": "718-746-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF WHITESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "MARUM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "516-317-5516"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.