Active NPI
Michele Lynn Wurglics, DO
- Optician
- Centereach, NY
National Provider Identifier
1447766191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009956
- Practice address
- 161 Centereach Mall
Centereach, NY 11720-2750 - Phone
- (631) 467-0402
- Fax
- (631) 585-0425
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009956 | NY | Primary |
Addresses
Primary practice location
161 Centereach Mall
Centereach, NY 11720-2750
Mailing address
1029 Broadway
Islip, NY 11751-1314
Phone (631) 219-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009956 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1447766191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 BROADWAY",
"city": "ISLIP",
"state": "NY",
"postal_code": "117511314",
"telephone_number": "631-219-9050",
"fax_number": "631-585-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CENTEREACH MALL",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117202750",
"telephone_number": "631-467-0402",
"fax_number": "631-585-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURGLICS",
"first_name": "MICHELE",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.