Active NPI
Ruby's Optical LLC
- Optometrist
- Scarsdale, NY
National Provider Identifier
1336847011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RUBY'S OPTICAL LLC
- Practice address
- 14 Garth Rd
Scarsdale, NY 10583-3704 - Phone
- (914) 574-5182
- NPI assigned
- Feb 21, 2023
- 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
- Ettrick Campbell
- Title
- Owner
- Phone
- (718) 675-6729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
14 Garth Rd
Scarsdale, NY 10583-3704
Mailing address
14 Garth Rd
Scarsdale, NY 10583-3704
Phone (914) 574-5182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9145745182 | Other | N/A |
National Provider Directory
National Provider DirectoryLocations
14 Garth Rd
Scarsdale, NY 10583
Phone (914) 574-5182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1336847011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 GARTH RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833704",
"telephone_number": "914-574-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 GARTH RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105833704",
"telephone_number": "914-574-5182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY'S OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "ETTRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-675-6729"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "9145745182",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.