Bellerose Optical Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

005764-1 Issued in NY

Legal business name

BELLEROSE OPTICAL CENTER

Practice address

24702 Jericho Tpke
Floral Park, NY 11001-4001

Phone

(516) 437-3839

Fax

(516) 437-3839

NPI assigned

Jan 29, 2007

Last updated

Jun 17, 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

Mr. David Michael Levy, OPTICIANNPI 1306068630

Title

Dispensing Optician

Phone

(516) 437-3839

Specialties & licenses 1

Addresses

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.

• David M. Levy, OPTICIAN

  • Optician
  • Floral Park, NY
  • NPI 1306068630
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1407902620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24702 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014001",
            "telephone_number": "516-437-3839",
            "fax_number": "516-437-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24702 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014001",
            "telephone_number": "516-437-3839",
            "fax_number": "516-437-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEROSE OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "516-437-3839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "005764-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Ty Beasca, PA
• Jessie M Beaubrun, PHARMD
• Judith Beck
• Luke Edward Beermann, ATC
• Jessica Rose Beitscher
• Joseph Benari, RPH
• Eric Beqaj
• Seth Berkowitz
• Medjine Bernard
• Rowena Bernardo, PT

• Eyewear Supplier in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.