Organization Active NPI

Ultra Vision Optical Center Inc

  • Optometrist
  • N Massapequa, NY
National Provider Identifier
1326183252
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ULTRA VISION OPTICAL CENTER INC
Practice address
812 Hicksville Rd
N Massapequa, NY 11758-1262
Phone
(516) 796-2020
Fax
(516) 796-3818
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Jason Bart, OD
Title
Optometrist
Phone
(516) 796-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Preferred Provider Organization 305R00000X TUV006342 NY

Addresses

Primary practice location

812 Hicksville Rd
N Massapequa, NY 11758-1262

Mailing address

812 Hicksville Rd
N Massapequa, NY 11758-1262
Phone (516) 796-2020

National Provider Directory

National Provider Directory

Locations

3697 Hempstead Tpke
Levittown, NY 11756
Phone (516) 796-2020

812 Hicksville Rd
North Massapequa, NY 11758
Phone (516) 796-2020

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1326183252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 HICKSVILLE RD",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581262",
            "telephone_number": "516-796-2020",
            "fax_number": "516-796-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 HICKSVILLE RD",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581262",
            "telephone_number": "516-796-2020",
            "fax_number": "516-796-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA VISION OPTICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "BART",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-796-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "TUV006342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.