Active NPI
Complete Optometry Care PC
- Corneal and Contact Management Optometrist
- South Richmond Hill, NY
National Provider Identifier
1255700118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- TUV007180
- Legal business name
- COMPLETE OPTOMETRY CARE PC
- Practice address
- 12015 Liberty Ave
South Richmond Hill, NY 11419-2117 - Phone
- (718) 843-2156
- NPI assigned
- Sep 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalie Bissoon, OD
- Title
- President
- Phone
- (917) 412-2287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | TUV007180 | NY | Primary |
Addresses
Primary practice location
12015 Liberty Ave
South Richmond Hill, NY 11419-2117
Mailing address
12015 Liberty Ave
South Richmond Hill, NY 11419-2117
Phone (718) 843-2156
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- South Richmond Hill, NY
- NPI 1912959859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442880000000",
"number": "1255700118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192117",
"telephone_number": "718-843-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192117",
"telephone_number": "718-843-2156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE OPTOMETRY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A",
"authorized_official_last_name": "BISSOON",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-412-2287",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV007180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.