Organization Active NPI

Optics Plus Opticians, Inc.

  • Optician
  • Woodbury, NY
National Provider Identifier
1225076300
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004024 Issued in NY
Legal business name
OPTICS PLUS OPTICIANS, INC.
Practice address
8285 Jericho Tpke
Woodbury, NY 11797-1807
Phone
(516) 367-2020
Fax
(516) 367-3379
NPI assigned
Jun 2, 2006
Last updated
Sep 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mr. Richard Bauman, OPTICIANNPI 1629010764
Title
President
Phone
(516) 367-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004491 NY
Optician 156FX1800X 004024 NY Primary

Addresses

Primary practice location

8285 Jericho Tpke
Woodbury, NY 11797-1807

Mailing address

8285 Jericho Tpke
Woodbury, NY 11797-1807
Phone (516) 367-2020

Other identifiers 1

IdentifierTypeStateIssuer
NY4024OtherEYEMED PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040707000649 NY Part B Supplier - Clinic/Group Practice 1557348596 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, NY
O20100930050280 NY DME Supplier - Physician - OptometristDME Supplier - Optician 1557348596 Practice locations: Woodbury, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Optics Plus8285 Jericho Tpke, Woodbury, NY 11797-1807(516) 367-2020 Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1225076300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971807",
            "telephone_number": "516-367-2020",
            "fax_number": "516-367-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971807",
            "telephone_number": "516-367-2020",
            "fax_number": "516-367-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS PLUS OPTICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-367-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004491",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "NY4024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.