NPIMap

Organization Active NPI

PJ Optical

  • Eyewear Supplier
  • Port Jefferson Station, NY
National Provider Identifier
1396993622
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PJ OPTICAL
Practice address
1010 Route 112
Suite 300
Port Jefferson Station, NY 11776-3387
Phone
(631) 476-3500
NPI assigned
Aug 28, 2008
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Ms. Kelly Roxby
Title
Manager
Phone
(631) 612-2706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NY Primary

Addresses

Primary practice location

1010 Route 112
Suite 300
Port Jefferson Station, NY 11776-3387

Mailing address

1010 Route 112
Suite 300
Port Jefferson Station, NY 11776-3387
Phone (631) 476-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1396993622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 112",
            "address_2": "SUITE 300",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763387",
            "telephone_number": "631-476-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 112",
            "address_2": "SUITE 300",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763387",
            "telephone_number": "631-476-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJ OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "ROXBY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-612-2706",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.