Organization Active NPI

Spunky Optometry PC

Doing business as Sterling Optical

  • Optometrist
  • Newburgh, NY
National Provider Identifier
1275594194
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005343 Issued in NY
Legal business name
SPUNKY OPTOMETRY PC
Doing business as
Sterling Optical
Practice address
1401 Route 300
Suite 1084
Newburgh, NY 12550-2990
Phone
(845) 564-3522
Fax
(845) 564-3554
NPI assigned
Mar 30, 2006
Last updated
Sep 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Dr. Andrew Freilich, ODNPI 1598727943
Title
President/Optometrist
Phone
(845) 564-3522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005343 NY Primary

Addresses

Primary practice location

1401 Route 300
Suite 1084
Newburgh, NY 12550-2990

Mailing address

1401 Route 300
Suite 1084
Newburgh, NY 12550-2990
Phone (845) 564-3522

Other identifiers 1

IdentifierTypeStateIssuer
01529208MedicaidNY

Other names 1

  • Sterling Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Route 300
Ste 143
Newburgh, NY 12550
Phone (845) 564-3522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1275594194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "address_2": "SUITE 1084",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-564-3522",
            "fax_number": "845-564-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 300",
            "address_2": "SUITE 1084",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502990",
            "telephone_number": "845-564-3522",
            "fax_number": "845-564-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPUNKY OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "FREILICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "845-564-3522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01529208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.