Woodmere Ophthalmology P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

109481 Issued in NY

Legal business name

WOODMERE OPHTHALMOLOGY P.C.

Practice address

150 Irving PL
Woodmere, NY 11598-1245

Phone

(516) 569-2020

NPI assigned

Jul 13, 2011

Last updated

Mar 24, 2017By 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. Bruce A. Mazor, M.D.

Title

President

Phone

(515) 569-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1316235211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981245",
            "telephone_number": "516-569-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981245",
            "telephone_number": "516-569-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMERE OPHTHALMOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "MAZOR",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-569-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "109481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.