Active NPI
USA Optical LLC
- Technician/Technologist
- Bronx, NY
National Provider Identifier
1326182858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Legal business name
- USA OPTICAL LLC
- Practice address
- 2856 3Rd Ave
Bronx, NY 10455-2717 - Phone
- (718) 585-5100
- Fax
- (718) 292-0805
- NPI assigned
- Feb 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter J Brown
- Title
- Owner
- Phone
- (212) 594-0751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
2856 3Rd Ave
Bronx, NY 10455-2717
Mailing address
330 W 38TH St
#805
New York, NY 10018-2999
Phone (212) 594-0751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01983682 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- USA Optical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Technician/Technologist
- Bronx, NY
- NPI 1871637306
Locations
330 W 38th St
Rm 805
New York, NY 10018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326182858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 38TH ST",
"address_2": "#805",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100182999",
"telephone_number": "212-594-0751",
"fax_number": "212-594-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2856 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104552717",
"telephone_number": "718-585-5100",
"fax_number": "718-292-0805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-594-0751",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01983682",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, 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.