Organization Active NPI

Liberty Optical Inc

  • Optometrist
  • Manhasset, NY
National Provider Identifier
1366627036
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006241 Issued in NY
Legal business name
LIBERTY OPTICAL INC
Practice address
572 Plandome Rd
Manhasset, NY 11030-1946
Phone
(516) 869-5998
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Vladimir Poley, ODNPI 1285644088
Title
President
Phone
(516) 869-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 006252 NY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 006241 NY Primary

Addresses

Primary practice location

572 Plandome Rd
Manhasset, NY 11030-1946

Mailing address

572 Plandome Rd
Manhasset, NY 11030-1946

National Provider Directory

National Provider Directory

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": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1366627036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301946",
            "telephone_number": "516-869-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "POLEY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-869-5998",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006252",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.