Organization Active NPI

Ruby's Optical LLC

  • Optometrist
  • Scarsdale, NY
National Provider Identifier
1336847011
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Feb 23, 2023

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9145745182OtherN/A

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.