Active NPI
Vision Center of Whitestone
- Optometrist
- Whitestone, NY
National Provider Identifier
1215581129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryNPI 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.