Organization Active NPI

Deborila, Inc

Doing business as Leahy Opticians

  • Optician
  • Southampton, NY
National Provider Identifier
1265649958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
DEBORILA, INC
Doing business as
Leahy Opticians
Practice address
145 Main St
Southampton, NY 11968-4810
Phone
(631) 283-4244
Fax
(631) 283-4328
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Laurie Stone, OPHTHALMIC DISPENSER
Title
Partner
Phone
(631) 283-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

145 Main St
Southampton, NY 11968-4810

Mailing address

145 Main St
Southampton, NY 11968-4810
Phone (631) 283-4244

Other names 1

  • Leahy Opticians Doing business as

National Provider Directory

National Provider Directory

Locations

145 Main St
Southampton, NY 11968
Phone (631) 283-4244

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265649958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684810",
            "telephone_number": "631-283-4244",
            "fax_number": "631-283-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684810",
            "telephone_number": "631-283-4244",
            "fax_number": "631-283-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORILA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-283-4244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPHTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leahy Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, 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.