Organization Active NPI

DM Optical Inc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1457414286
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Apr 14, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02705273MedicaidNY

Other names 1

  • 9 street optical Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.