Bethpage Optical, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007319-1 Issued in NY

Legal business name

BETHPAGE OPTICAL, LLC

Practice address

582 Stewart Ave
Bethpage, NY 11714-2702

Phone

(516) 433-2015

Fax

(516) 433-2017

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By 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

Mr. Michael Zavulunov

Title

Owner Optician

Phone

(516) 433-2015

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• Jeffrey Lloyd Willig, M.D.

  • Ophthalmology Physician
  • West Islip, NY
  • NPI 1487681896
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356491930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142702",
            "telephone_number": "516-433-2015",
            "fax_number": "516-433-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142702",
            "telephone_number": "516-433-2015",
            "fax_number": "516-433-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHPAGE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAVULUNOV",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "516-433-2015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007319-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SCREENING",
            "identifier": "859",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "919607",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "15602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY0543",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethpage Magnetic Resonance Imaging, P.C.
• Bethpage Magnetic Resonance Imaging, PC (Bethpage Open MRI)
• Bethpage Medical Practice PLLC
• Bethpage Medical Wellness PC
• Bethpage OB/GYN, P.C.
• Bethpage Pharmacy Inc
• Bethpage Physical Therapy Assoc PC
• Bethpage Union Free School District
• Saumya Bhasin
• Ballambattu R Bhat, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.