Organization Active NPI

Plandome Vision Center Inc

  • Eyewear Supplier
  • Manhasset, NY
National Provider Identifier
1245392729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PLANDOME VISION CENTER INC
Practice address
572 Plandome Rd
Manhasset, NY 11030-1946
Phone
(516) 869-5998
NPI assigned
Dec 14, 2006
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
Robert Broderick, MD
Title
Officer
Phone
(516) 869-5998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

572 Plandome Rd
Manhasset, NY 11030-1946

Mailing address

572 Plandome Rd
Manhasset, NY 11030-1946
Phone (516) 869-5998

National Provider Directory

National Provider Directory

Locations

572 Plandome Rd
Plandome, NY 11030
Phone (516) 869-5998

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": "1598054400000",
    "number": "1245392729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946",
            "telephone_number": "516-869-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946",
            "telephone_number": "516-869-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANDOME VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-869-5998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, 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.