Organization Active NPI

Metropolitan Optometric Associates, PC

  • Optometrist
  • Bronx, NY
National Provider Identifier
1437246279
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005312 Issued in NY
Legal business name
METROPOLITAN OPTOMETRIC ASSOCIATES, PC
Practice address
595 W 239TH St
Apt B3
Bronx, NY 10463-1291
Phone
(646) 875-8828
Fax
(646) 875-8828
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Connie Dong, O.D.NPI 1609943182
Title
President
Phone
(646) 875-8828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005312 NY Primary

Addresses

Primary practice location

595 W 239TH St
Apt B3
Bronx, NY 10463-1291

Mailing address

595 W 239TH St
Apt B3
Bronx, NY 10463-1291
Phone (646) 875-8828

Other identifiers 1

IdentifierTypeStateIssuer
2341237OtherNYAETNA PROVIDER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1437246279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W 239TH ST",
            "address_2": "APT B3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631291",
            "telephone_number": "646-875-8828",
            "fax_number": "646-875-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W 239TH ST",
            "address_2": "APT B3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631291",
            "telephone_number": "646-875-8828",
            "fax_number": "646-875-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN OPTOMETRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-875-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "2341237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

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