NPIMap

Organization Active NPI

Coram Hills Eyecare Optometry & Opthalmic Dispensing PLLC

  • Eyewear Supplier
  • Coram, NY
National Provider Identifier
1366423493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CORAM HILLS EYECARE OPTOMETRY & OPTHALMIC DISPENSING PLLC
Practice address
592 Mill Rd
Coram, NY 11727-4114
Phone
(631) 732-0822
Fax
(631) 732-0018
NPI assigned
Nov 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Coltellino, ODNPI 1932180056
Title
Principal Partner
Phone
(631) 732-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

592 Mill Rd
Coram, NY 11727-4114

Mailing address

592 Mill Rd
Coram, NY 11727-4114
Phone (631) 732-0822

National Provider Directory

National Provider Directory

Locations

592 Mill Rd
Coram, NY 11727
Phone (631) 732-0822

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366423493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 MILL RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274114",
            "telephone_number": "631-732-0822",
            "fax_number": "631-732-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 MILL RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274114",
            "telephone_number": "631-732-0822",
            "fax_number": "631-732-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HILLS EYECARE OPTOMETRY & OPTHALMIC DISPENSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLTELLINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "631-732-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • 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.