Organization Active NPI

Optical Center, Inc.

  • Optometrist
  • Copiague, NY
National Provider Identifier
1346408416
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005528 Issued in NY
Legal business name
OPTICAL CENTER, INC.
Doing business as
Harbour Optics
Practice address
940 Montauk Hwy
Copiague, NY 11726-4901
Phone
(631) 789-2525
Fax
(631) 789-1495
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. Thomas Polizzi, OPTICIAN
Title
Owner
Phone
(631) 789-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005528 NY Primary
Eyewear Supplier 332H00000X 003867-1 NY

Addresses

Primary practice location

940 Montauk Hwy
Copiague, NY 11726-4901

Mailing address

940 Montauk Hwy
Copiague, NY 11726-4901
Phone (631) 789-2525

Other names 1

  • Harbour Optics Doing business as

National Provider Directory

National Provider Directory

Locations

940 Montauk Hwy
Copiague, NY 11726
Phone (631) 673-5820

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1346408416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264901",
            "telephone_number": "631-789-2525",
            "fax_number": "631-789-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264901",
            "telephone_number": "631-789-2525",
            "fax_number": "631-789-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "POLIZZI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-789-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005528",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "003867-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Copiague, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.