Organization Active NPI

JLC Optical, Corp

  • Eyewear Supplier
  • Riverhead, NY
National Provider Identifier
1487890943
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
T002927-1 Issued in NY
Legal business name
JLC OPTICAL, CORP
Practice address
755 Old Country Rd
Riverhead, NY 11901-2111
Phone
(631) 727-3173
Fax
(631) 727-9194
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Ms. Charlotte Smilovich
Title
MGR
Phone
(631) 727-3173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X T002927-1 NY Primary

Addresses

Primary practice location

755 Old Country Rd
Riverhead, NY 11901-2111

Mailing address

755 Old Country Rd
Riverhead, NY 11901-2111
Phone (631) 727-3173

Other names 1

  • cohen's fashion optical Doing business as

National Provider Directory

National Provider Directory

Locations

755 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3173

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1487890943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012111",
            "telephone_number": "631-727-3173",
            "fax_number": "631-727-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012111",
            "telephone_number": "631-727-3173",
            "fax_number": "631-727-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLC OPTICAL, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "SMILOVICH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "631-727-3173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "T002927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cohen's fashion optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.