Active NPI
Lens Lab Express of Fordham Road Inc
Doing business as Lens Lab Express
- Optometrist
- Bronx, NY
National Provider Identifier
1366539967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 004158-1
- Legal business name
- LENS LAB EXPRESS OF FORDHAM ROAD INC
- Doing business as
- Lens Lab Express
- Practice address
- 125 E Fordham Rd
Bronx, NY 10468-5404 - Phone
- (718) 329-2020
- Fax
- (718) 561-0616
- NPI assigned
- Oct 6, 2006
- Last updated
- Dec 22, 2016
- 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
- Dr. Robert Magelowitz, O.D.
- Title
- President
- Phone
- (718) 329-2020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 004158-1 | NY | Primary |
Addresses
Primary practice location
125 E Fordham Rd
Bronx, NY 10468-5404
Mailing address
125 E Fordham Rd
Bronx, NY 10468-5404
Phone (718) 329-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01874428 | Medicaid | NY |
Other names 1
- Lens Lab Express
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Bronx, NY
- NPI 1750994059
-
- Optometrist
- Brooklyn, NY
- NPI 1073139432
-
- Optometrist
- Bronx, NY
- NPI 1164517207
-
- Optometrist
- Brooklyn, NY
- NPI 1174858930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1366539967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104685404",
"telephone_number": "718-329-2020",
"fax_number": "718-561-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104685404",
"telephone_number": "718-329-2020",
"fax_number": "718-561-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENS LAB EXPRESS OF FORDHAM ROAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "MAGELOWITZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-329-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "004158-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01874428",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lens Lab Express",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.