Woodside Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOODSIDE OPTOMETRY PC

Practice address

4811 Queens Blvd
Flushing, NY 11377-4450

Phone

(718) 205-9760

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Puneet Rastogi, OD

Title

Owner

Phone

(312) 925-9519

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1356677876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 QUEENS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113774450",
            "telephone_number": "718-205-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 QUEENS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113774450",
            "telephone_number": "718-205-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-925-9519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.