NPIMap

Organization Active NPI

Annette Optical Inc

Doing business as sterling optical

  • Eyewear Supplier
  • Hicksville, NY
National Provider Identifier
1437222585
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ANNETTE OPTICAL INC
Doing business as
sterling optical
Practice address
881 Broadway Mall
Hicksville, NY 11801-2712
Phone
(516) 938-6006
Fax
(516) 938-6018
NPI assigned
Nov 16, 2006
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Mrs. Mariana Gershovich
Title
VP
Phone
(516) 938-6006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

881 Broadway Mall
Hicksville, NY 11801-2712

Mailing address

881 Broadway Mall
Hicksville, NY 11801-2712
Phone (516) 938-6006

Other identifiers 2

IdentifierTypeStateIssuer
A100000778OtherNYMEDICARE PTAN
01630157MedicaidNY

Other names 1

  • sterling optical Doing business as

National Provider Directory

National Provider Directory

Locations

881 Broadway Mall
Hicksville, NY 11801
Phone (516) 938-2712

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1437222585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012712",
            "telephone_number": "516-938-6006",
            "fax_number": "516-938-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012712",
            "telephone_number": "516-938-6006",
            "fax_number": "516-938-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "GERSHOVICH",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "516-938-6006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100000778",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01630157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sterling optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.