Fine & Park LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0034421 Issued in NY

Legal business name

FINE & PARK LLC

Practice address

578 Broadway
Kingston, NY 12401-3942

Phone

(845) 331-1212

Fax

(845) 338-3483

NPI assigned

Jun 10, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Richmond

Title

Member

Phone

(845) 331-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Fine Park LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Stephen J Fine,OD

  • Optometrist
  • Kingston, NY
  • NPI 1902952377
  NPD tax ID

Locations

Practitioners 4

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.

• John McKinney, O.D.

  • Optometrist
  • Kingston, NY
  • NPI 1306996632
  Medicare reassignment Care Compare group NPD
• Wayne T Miller, O.D.

  • Optometrist
  • West Hurley, NY
  • NPI 1114913639
  Medicare reassignment Care Compare group NPD
• Kari Danielle Sweeney, OD

  • Optometrist
  • Kingston, NY
  • NPI 1780256859
  Medicare reassignment Care Compare group NPD
• Michael Christopher Madigan, O.D.

  • Optometrist
  • Rhinebeck, NY
  • NPI 1376548818
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1275769721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013942",
            "telephone_number": "845-331-1212",
            "fax_number": "845-338-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013942",
            "telephone_number": "845-331-1212",
            "fax_number": "845-338-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE & PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-331-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0034421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Parker Ferencik, MS, RD
• Elizabeth Andrea Fernandez, CD (DONA), LCSW
• Talita Santos Ferrara
• Anna Filkin, LAC
• Hannah Irene Fillette
• Stephen J Fine, OD
• Catherine Elizabeth Finley, LAC
• Robert M Fisch, MD
• Hayley Fischer, PA
• Jennaleigh Fish

• Optometrist in Kingston, NY
• Providers in Kingston, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.