Eastside Optometric, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003814 Issued in NY

Legal business name

EASTSIDE OPTOMETRIC, P.C.

Practice address

425 Lexington Ave
Eastside Optometric, P.C. Co Lenscrafters
New York, NY 10017-3903

Phone

(212) 986-9281

Fax

(212) 681-6102

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Goldberg, O.D.

Title

President

Phone

(212) 986-9281

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1396803110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEXINGTON AVE",
            "address_2": "EASTSIDE OPTOMETRIC, P.C. CO LENSCRAFTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173903",
            "telephone_number": "212-986-9281",
            "fax_number": "212-681-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LEXINGTON AVE",
            "address_2": "EASTSIDE OPTOMETRIC, P.C. CO LENSCRAFTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173903",
            "telephone_number": "212-986-9281",
            "fax_number": "212-681-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE OPTOMETRIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-986-9281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Medical Associates, P.C.
• Eastside Medical Care PLLC
• Eastside Medical Office , PC
• Eastside Medical Practice, P.C.
• Eastside Medical Radiology PLLC
• Eastside Oral Surgery
• Eastside Orthotics & Prosthetics Inc
• Eastside Orthotics and Prosthetics, Inc.
• Eastside Physicians of Nyc, PLLC
• Eastside Physicians of Nyc, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.