Organization Active NPI

Steven John Opticians PLLC

  • Optometrist
  • Bronx, NY
National Provider Identifier
1235291535
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005029 Issued in NY
Legal business name
STEVEN JOHN OPTICIANS PLLC
Practice address
5901 Riverdale Ave
Bronx, NY 10471-1602
Phone
(718) 543-3336
Fax
(718) 543-6463
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Catherine Duhaudt
Title
Office Manager
Phone
(718) 543-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T005029 NY Primary

Addresses

Primary practice location

5901 Riverdale Ave
Bronx, NY 10471-1602

Mailing address

5901 Riverdale Ave
Bronx, NY 10471-1602
Phone (718) 543-3336

Other identifiers 1

IdentifierTypeStateIssuer
02523839MedicaidNY

National Provider Directory

National Provider Directory

Locations

5901 Riverdale Ave
Bronx, NY 10471
Phone (718) 543-3336

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1235291535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711602",
            "telephone_number": "718-543-3336",
            "fax_number": "718-543-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711602",
            "telephone_number": "718-543-3336",
            "fax_number": "718-543-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN JOHN OPTICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "DUHAUDT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-543-3336"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02523839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.