Organization Active NPI

Park Optical Inc

  • Optician
  • Brooklyn, NY
National Provider Identifier
1356524748
Registry record updated Dec 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006359-1 Issued in NY
Legal business name
PARK OPTICAL INC
Practice address
524 Clarkson Ave
Brooklyn, NY 11203-2015
Phone
(718) 778-4516
Fax
(718) 774-5636
NPI assigned
Dec 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2007

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

Authorized official

Name
Mr. Moin Uddin
Title
Pre
Phone
(718) 778-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 006359-1 NY Primary

Addresses

Primary practice location

524 Clarkson Ave
Brooklyn, NY 11203-2015

Mailing address

524 Clarkson Ave
Brooklyn, NY 11203-2015
Phone (718) 778-4516

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197158400000",
    "number": "1356524748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032015",
            "telephone_number": "718-778-4516",
            "fax_number": "718-774-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032015",
            "telephone_number": "718-778-4516",
            "fax_number": "718-774-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MOIN",
        "authorized_official_title_or_position": "PRE",
        "authorized_official_telephone_number": "718-778-4516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2007; 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.