Active NPI
Warwick Valley Optical
- Optician
- Warwick, NY
National Provider Identifier
1376737155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- TD872
- Legal business name
- WARWICK VALLEY OPTICAL
- Practice address
- 33 Ronald Reagan Blvd
Warwick, NY 10990-4114 - Phone
- (845) 986-4886
- Fax
- (845) 986-4883
- NPI assigned
- Sep 5, 2007
- 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
- Mr. Richard Hogg
- Title
- President
- Phone
- (845) 986-4886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | TD872 | NJ | Primary |
Addresses
Primary practice location
33 Ronald Reagan Blvd
Warwick, NY 10990-4114
Mailing address
33 Ronald Reagan Blvd
Warwick, NY 10990-4114
Phone (845) 986-4886
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1376737155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RONALD REAGAN BLVD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109904114",
"telephone_number": "845-986-4886",
"fax_number": "845-986-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RONALD REAGAN BLVD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109904114",
"telephone_number": "845-986-4886",
"fax_number": "845-986-4883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARWICK VALLEY OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "HOGG",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-986-4886",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "TD872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.