Witz Optical Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

TU003858 Issued in NY

Legal business name

WITZ OPTICAL CORP

Doing business as

Designer Optical Outlet

Practice address

2303 Richmond Ave
Staten Island, NY 10314-3918

Phone

(718) 982-9602

Fax

(718) 982-9607

NPI assigned

May 10, 2006

Last updated

Jan 5, 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. Neil Cooper, O.D.NPI 1457303240

Title

President

Phone

(718) 982-9602

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DESIGNER OPTICAL OUTLET Doing business as

Locations

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.

• Neil Cooper, O.D.

  • Optometrist
  • Staten Island, NY
  • NPI 1457303240
  Authorized official Same address or phone

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1427007053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143918",
            "telephone_number": "718-982-9602",
            "fax_number": "718-982-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143918",
            "telephone_number": "718-982-9602",
            "fax_number": "718-982-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITZ OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-982-9602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU003858",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004641",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6500308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "76664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESIGNER OPTICAL OUTLET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Wisniewski, MD
• Usama Saber Wissa, MBBCH
• Wissam Hoyek MD PLLC
• Kimberly Ann Wissel, M.A. CCC/SLP
• Victoria Withers
• Gail Wodkiewicz, LMHC
• Maryann Wodzinski, M.S. SLP
• Todd Matthew Wohl, MSPT
• Frank Wolak, MD
• Ann-Marie Wold, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.