Active NPI
Park Optical Inc
- Optician
- Brooklyn, NY
National Provider Identifier
1356524748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 006359-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 DirectoryNPI 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.