Organization Active NPI

Hauppauge Vision Inc.

  • Optometrist
  • Hauppauge, NY
National Provider Identifier
1245403609
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV3129 Issued in NY
Legal business name
HAUPPAUGE VISION INC.
Practice address
555 Route 111
Hauppauge
Hauppauge, NY 11788-4359
Phone
(631) 979-0515
Fax
(631) 979-6072
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Martin Joel Roberts, O.D.
Title
Optometrist
Phone
(631) 979-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV3129 NY Primary

Addresses

Primary practice location

555 Route 111
Hauppauge
Hauppauge, NY 11788-4359

Mailing address

555 Route 111
Hauppauge
Hauppauge, NY 11788-4359
Phone (631) 979-0515

National Provider Directory

National Provider Directory

Locations

555 Route 111
Hauppauge, NY 11788
Phone (613) 979-0515

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1245403609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUTE 111",
            "address_2": "HAUPPAUGE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884359",
            "telephone_number": "631-979-0515",
            "fax_number": "631-979-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 111",
            "address_2": "HAUPPAUGE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884359",
            "telephone_number": "631-979-0515",
            "fax_number": "631-979-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUPPAUGE VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "631-979-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.