Organization Active NPI

Marie S Jean

  • Optometrist
  • Beacon, NY
National Provider Identifier
1447797717
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARIE S JEAN
Doing business as
Pink Optical
Practice address
323 Main St
Beacon, NY 12508-3079
Phone
(845) 765-1255
NPI assigned
Jan 25, 2017
Organization subpart
Yes
Parent organization
MARIE S JEANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Marie Sybille Jean
Title
Owner
Phone
(646) 671-4372

Specialties & licenses 1

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

Addresses

Primary practice location

323 Main St
Beacon, NY 12508-3079

Mailing address

323 Main St
Beacon, NY 12508-3079
Phone (845) 765-1255

Other names 1

  • Pink Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marie S Jean2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1447797717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083079",
            "telephone_number": "845-765-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083079",
            "telephone_number": "845-765-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE S JEAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIE S JEAN",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "SYBILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-671-4372"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pink Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.