Active NPI
Woodside Optical Corp.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1346583655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005920
- Legal business name
- WOODSIDE OPTICAL CORP.
- Doing business as
- new view vision
- Practice address
- 202 7TH Ave
Brooklyn, NY 11215-6733 - Phone
- (845) 673-3613
- Fax
- (718) 505-1414
- NPI assigned
- Apr 4, 2013
- 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
- Roman Kulberg, OWNER
- Title
- Owner
- Phone
- (845) 673-3613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005920 | NY | Primary |
Addresses
Primary practice location
202 7TH Ave
Brooklyn, NY 11215-6733
Mailing address
6108 Woodside Ave
Woodside, NY 11377-3543
Phone (718) 505-1700
Other names 1
- new view vision
National Provider Directory
National Provider DirectoryLocations
6108 Woodside Ave
Woodside, NY 11377
Phone (718) 505-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1346583655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 WOODSIDE AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773543",
"telephone_number": "718-505-1700",
"fax_number": "718-505-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156733",
"telephone_number": "845-673-3613",
"fax_number": "718-505-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODSIDE OPTICAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "KULBERG",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-673-3613",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "new view vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.