Organization Active NPI

Rachel Murad

  • Eyewear Supplier
  • Clifton Park, NY
National Provider Identifier
1366635211
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
6910-1 Issued in NY
Legal business name
RACHEL MURAD
Practice address
1789 Route 9
Clifton Park, NY 12065-2438
Phone
(518) 371-0246
Fax
(518) 383-9888
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. Joseph D Osborn
Title
Optician
Phone
(518) 371-0246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6910-1 NY Primary

Addresses

Primary practice location

1789 Route 9
Clifton Park, NY 12065-2438

Mailing address

1789 Route 9
Clifton Park, NY 12065-2438
Phone (518) 371-0246

Other identifiers 1

IdentifierTypeStateIssuer
1172880001OtherNYDME SUPPLIER

National Provider Directory

National Provider Directory

Locations

1789 Route 9
Halfmoon, NY 12065
Phone (518) 371-0246

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1366635211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652438",
            "telephone_number": "518-371-0246",
            "fax_number": "518-383-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652438",
            "telephone_number": "518-371-0246",
            "fax_number": "518-383-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL MURAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "518-371-0246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "6910-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER",
            "identifier": "1172880001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.