Park Opticians

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4882 Issued in NY

Legal business name

PARK OPTICIANS

Practice address

576-578 Broadway
Kingston, NY 12401-3902

Phone

(845) 338-3302

Fax

(845) 338-3483

NPI assigned

Mar 20, 2007

Last updated

Jan 17, 2008By 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

Mrs. Joan Van Wagner

Title

Patient Service Representative

Phone

(845) 338-3302

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Stephen J Fine, OD

  • Optometrist
  • Kingston, NY
  • NPI 1003812223
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1336264548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576-578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013902",
            "telephone_number": "845-338-3302",
            "fax_number": "845-338-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576-578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013902",
            "telephone_number": "845-338-3302",
            "fax_number": "845-338-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "VAN WAGNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PATIENT SERVICE REPRESENTATIVE",
        "authorized_official_telephone_number": "845-338-3302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime L Parent, MD
• Dineshkant N Parikh, M.D.
• Himanshu Parikh, MD
• Nirmal K Parikh, MD
• Jackie Parisi
• Brian Park, M.D.
• Eugene Park, DDS
• Holly Parker, NP
• Michaela Rose Passero, MHC-LP
• Bharat C Patel, DDS

• Optician in Kingston, NY
• Providers in Kingston, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.