Organization Active NPI

Cignar Corp.

Doing business as Broadway Vision Center

  • Optometrist
  • New York, NY
National Provider Identifier
1316039761
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4372 Issued in NY
Legal business name
CIGNAR CORP.
Doing business as
Broadway Vision Center
Practice address
4047 Broadway
New York, NY 10032-1516
Phone
(212) 927-2020
NPI assigned
Sep 29, 2006
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Charles I Gold, O.D.NPI 1073584330
Title
Owner
Phone
(212) 927-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4372 NY Primary

Addresses

Primary practice location

4047 Broadway
New York, NY 10032-1516

Mailing address

4047 Broadway
New York, NY 10032-1516
Phone (212) 927-2020

Other names 1

  • Broadway Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000228 NY Part B Supplier - Clinic/Group Practice 4688676257 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

4047 Broadway
New York, NY 10032
Phone (201) 836-0888

4047 Broadway
#170
New York, NY 10032

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1316039761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321516",
            "telephone_number": "212-927-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321516",
            "telephone_number": "212-927-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIGNAR CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-927-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Vision Center",
            "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 Sep 10, 2014; 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.