J S G Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006797 Issued in NY

Legal business name

J S G OPTOMETRY PC

Practice address

918 Hempstead Tpke
Franklin Square, NY 11010-3637

Phone

(516) 354-4242

Fax

(516) 354-4242

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sherin George, O DNPI 1851312490

Title

Owner

Phone

(516) 354-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Franklin Square Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherin George, OD

  • Optometrist
  • Franklin Square, NY
  • NPI 1851312490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1265514541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103637",
            "telephone_number": "516-354-4242",
            "fax_number": "516-354-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103637",
            "telephone_number": "516-354-4242",
            "fax_number": "516-354-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S G OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SHERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-354-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02601756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Square Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alice Jacob, LPN
• Alice S Jacob
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• Optometrist in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.