Organization Active NPI

Five Towns Family Optical

  • Optometrist
  • Woodmere, NY
National Provider Identifier
1275905291
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIVE TOWNS FAMILY OPTICAL
Practice address
1034 Broadway
Woodmere, NY 11598-1228
Phone
(516) 582-7558
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mrs. Allison Hoschander
Title
Manager
Phone
(516) 582-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY Primary

Addresses

Primary practice location

1034 Broadway
Woodmere, NY 11598-1228

Mailing address

1034 Broadway
Woodmere, NY 11598-1228

Other identifiers 1

IdentifierTypeStateIssuer
00620466MedicaidNY

National Provider Directory

National Provider Directory

Locations

1034 Broadway
Woodmere, NY 11598
Phone (516) 295-6070

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1275905291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981228",
            "telephone_number": "516-582-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE TOWNS FAMILY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "HOSCHANDER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-582-7558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00620466",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.