American Eye Care Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMERICAN EYE CARE CENTER, INC.

Practice address

38 03 Broadway
Astoria, NY 11103-4058

Phone

(718) 956-3000

Fax

(718) 204-0227

NPI assigned

Nov 6, 2006

Last updated

Oct 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Richard Stadlen, ODNPI 1942479324

Title

President Optometrist

Phone

(718) 956-3000

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mark Stadlen

  • Optometrist
  • Astoria, NY
  • NPI 1942479324
  Authorized official Same address or phone

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1386713394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 03 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034058",
            "telephone_number": "718-956-3000",
            "fax_number": "718-204-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 03 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034058",
            "telephone_number": "718-956-3000",
            "fax_number": "718-204-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EYE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "STADLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "718-956-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695345",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.