Southampton Optiks LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHAMPTON OPTIKS LTD

Practice address

414 County Road 39a
Southampton, NY 11968-5257

Phone

(631) 283-6226

Fax

(631) 287-2946

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By 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

Dr. Theodore J Calabrese Jr., ODNPI 1043391881

Title

Optometrist/Owner

Phone

(631) 283-6226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Theodore J Calabrese, O.D.

  • Optometrist
  • Southampton, NY
  • NPI 1043391881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1306626098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685257",
            "telephone_number": "631-283-6226",
            "fax_number": "631-287-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 COUNTY ROAD 39A",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685257",
            "telephone_number": "631-283-6226",
            "fax_number": "631-287-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON OPTIKS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "CALABRESE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "631-283-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southampton Hospital
• Southampton Hospital Association
• Southampton Hospital Association
• Southampton Immediate Medical Care PC
• Southampton Medical PC
• Southampton Physical Therapy PC
• Southampton Primacare Medical PC
• Southampton Pulmonary Med PC
• Southampton Radiology PC
• Southampton Sleep Disorder Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.