Active NPI
DM Optical Inc
- Optometrist
- Brooklyn, NY
National Provider Identifier
1457414286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DM OPTICAL INC
- Practice address
- 332 9TH St
Brooklyn, NY 11215-4058 - Phone
- (718) 965-2545
- Fax
- (718) 965-2545
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maksim Grinberg
- Title
- Owner
- Phone
- (718) 965-2545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
332 9TH St
Brooklyn, NY 11215-4058
Mailing address
332 9TH St
Brooklyn, NY 11215-4058
Phone (718) 965-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02705273 | Medicaid | NY |
Other names 1
- 9 street optical
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1457414286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154058",
"telephone_number": "718-965-2545",
"fax_number": "718-965-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154058",
"telephone_number": "718-965-2545",
"fax_number": "718-965-2545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DM OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "GRINBERG",
"authorized_official_first_name": "MAKSIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-965-2545"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02705273",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "9 street optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.