Organization Active NPI

Pagal Optical, Inc.

  • Optician
  • Rochester, NY
National Provider Identifier
1306933460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4996 Issued in NY
Legal business name
PAGAL OPTICAL, INC.
Practice address
3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513
Phone
(585) 381-1616
Fax
(585) 381-0718
NPI assigned
Oct 9, 2006
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. Seles A Varin, O.D.
Title
Owner
Phone
(585) 381-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4996 NY Primary

Addresses

Primary practice location

3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513

Mailing address

3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513
Phone (585) 381-1616

Other identifiers 2

IdentifierTypeStateIssuer
102136OtherNYEYEMED
FAO139OtherNYPREFERRED CARE

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306933460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "address_2": "PITTSFORD PLAZA",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1616",
            "fax_number": "585-381-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "address_2": "PITTSFORD PLAZA",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1616",
            "fax_number": "585-381-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGAL OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARIN",
        "authorized_official_first_name": "SELES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-381-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "102136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "FAO139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, 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.