Organization Active NPI

Pacific Optometry, Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1235352576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006136-1 Issued in NY
Legal business name
PACIFIC OPTOMETRY, INC.
Practice address
219 Grand St
New York, NY 10013-4275
Phone
(212) 219-8260
Fax
(212) 219-8260
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wing Cheung, O.D.NPI 1417025867
Title
Owner
Phone
(212) 219-8260

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006136-1 NY Primary

Addresses

Primary practice location

219 Grand St
New York, NY 10013-4275

Mailing address

219 Grand St
New York, NY 10013-4275
Phone (212) 219-8260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235352576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134275",
            "telephone_number": "212-219-8260",
            "fax_number": "212-219-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 GRAND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134275",
            "telephone_number": "212-219-8260",
            "fax_number": "212-219-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "WING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-219-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.