Organization Active NPI

SVC of East Setauket LLC

Doing business as Sound Vision Care

  • Optometrist
  • Stony Brook, NY
National Provider Identifier
1255875514
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SVC OF EAST SETAUKET LLC
Doing business as
Sound Vision Care
Practice address
215 Hallock Rd Ste 2
Stony Brook, NY 11790-3077
Phone
(631) 675-6909
Fax
(631) 675-6910
NPI assigned
Dec 6, 2016
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Jeffrey S Williams, OD
Title
Owner
Phone
(631) 727-7858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

215 Hallock Rd Ste 2
Stony Brook, NY 11790-3077

Mailing address

1224 Ostrander Avenue
Riverhead, NY 11901
Phone (631) 727-2858

Other names 1

  • Sound Vision Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sound Vision Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

887 Old Country Rd
Ste Gkl
Riverhead, NY 11901
Phone (631) 727-2858

215 Hallock Rd
Ste 2
Stony Brook, NY 11790
Phone (631) 675-6909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1255875514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OSTRANDER AVENUE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-2858",
            "fax_number": "631-727-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD STE 2",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903077",
            "telephone_number": "631-675-6909",
            "fax_number": "631-675-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVC OF EAST SETAUKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-727-7858",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.