Individual provider Active NPI

John Robert Semioli, OPTICIAN

  • Optician
  • Brooklyn, NY
National Provider Identifier
1295921468
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
3548 Issued in NY
Practice address
364 7TH Ave
Brooklyn, NY 11215-4315
Phone
(718) 832-5889
Fax
(718) 832-5890
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 3548 NY Primary

Addresses

Primary practice location

364 7TH Ave
Brooklyn, NY 11215-4315

Mailing address

364 7TH Ave
Brooklyn, NY 11215-4315
Phone (718) 832-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3548NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Ansonia Optical LTD. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1295921468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154315",
            "telephone_number": "718-832-5889",
            "fax_number": "718-832-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154315",
            "telephone_number": "718-832-5889",
            "fax_number": "718-832-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMIOLI",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.