Organization Active NPI

Chelsee Optical, Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1306060090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV06336-1 Issued in NY
Legal business name
CHELSEE OPTICAL, INC.
Practice address
86 W 125TH St
New York, NY 10027-4502
Phone
(212) 996-2676
Fax
(212) 996-3051
NPI assigned
Apr 12, 2007
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
Mr. Clinton Squires
Title
Owner
Phone
(212) 996-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV06336-1 NY Primary

Addresses

Primary practice location

86 W 125TH St
New York, NY 10027-4502

Mailing address

86 W 125TH St
New York, NY 10027-4502
Phone (212) 996-2676

Other names 1

  • Cohen's Fashion Optical Doing business as

National Provider Directory

National Provider Directory

Locations

86 W 125th St
New York, NY 10027
Phone (212) 996-2676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306060090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274502",
            "telephone_number": "212-996-2676",
            "fax_number": "212-996-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274502",
            "telephone_number": "212-996-2676",
            "fax_number": "212-996-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-996-2676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV06336-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, 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.