Organization Active NPI

Liberty Optical Gallery Inc

  • Optician
  • Liberty, NY
National Provider Identifier
1467679332
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006842 Issued in NY
Legal business name
LIBERTY OPTICAL GALLERY INC
Practice address
1949 State Route 52
Liberty, NY 12754-8313
Phone
(845) 292-3160
Fax
(845) 292-3395
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Joseph Nugent
Title
President
Phone
(845) 292-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 006842 NY Primary

Addresses

Primary practice location

1949 State Route 52
Liberty, NY 12754-8313

Mailing address

1949 State Route 52
Liberty, NY 12754-8313
Phone (845) 292-3160

Other names 1

  • OPTICAL GALLERY Doing business as

National Provider Directory

National Provider Directory

Locations

1949 State Route 52
Liberty, NY 12754
Phone (845) 292-3160

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1467679332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 STATE ROUTE 52",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548313",
            "telephone_number": "845-292-3160",
            "fax_number": "845-292-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 STATE ROUTE 52",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548313",
            "telephone_number": "845-292-3160",
            "fax_number": "845-292-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY OPTICAL GALLERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-3160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICAL GALLERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.