Roslyn Village Vision Center

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

197574-1 Issued in NY

Legal business name

ROSLYN VILLAGE VISION CENTER

Practice address

1390 Old Northern Blvd
Roslyn, NY 11576-2127

Phone

(516) 629-6200

Fax

(516) 801-3885

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Guillermo Gilberto Gallardo, M.D.

Title

Doctor/Owner

Phone

(516) 629-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1417229923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762127",
            "telephone_number": "516-629-6200",
            "fax_number": "516-801-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762127",
            "telephone_number": "516-629-6200",
            "fax_number": "516-801-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSLYN VILLAGE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "GILBERTO",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "516-629-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "197574-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihai Rosca, M.D.
• Julie B Rosenblatt, LCAT
• Alyssa Michelle Rosenblum, M.S., CCC-SLP
• Roslyn Pharmacy Inc (Roslyn Pharmacy)
• Roslyn Public Schools
• Peter Martin Roth, PA
• Cheryl Rothman, RPA-C
• Mohammed Abdur Rouf, RPH
• Erick Ruales, PA-C
• Lance Rubel, MD

• Vision Therapy Optometrist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Vision Therapy Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.