NPIMap

Organization Active NPI

Ross Optical Incorporated

Doing business as 21st Century Optical

  • Optician
  • Smithtown, NY
National Provider Identifier
1487891644
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004366-1 Issued in NY
Legal business name
ROSS OPTICAL INCORPORATED
Doing business as
21st Century Optical
Practice address
51 Route 111
Smithtown, NY 11787
Phone
(631) 724-4545
Fax
(631) 724-4575
NPI assigned
Jan 9, 2009
Organization subpart
Yes
Parent organization
ROSS OPTICAL INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Mr. Michael SabiaNPI 1952428187
Title
Licensed Optician
Phone
(631) 724-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 004366-1 NY Primary

Addresses

Primary practice location

51 Route 111
Smithtown, NY 11787

Mailing address

51 Route 111
Smithtown, NY 11787
Phone (631) 724-4545

Other names 1

  • 21st Century Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Ross Optical Incorporated

Locations

51 Route 111
Smithtown, NY 11787
Phone (631) 724-4545

Practitioners & affiliated clinicians

Practitioners 2

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1487891644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-4545",
            "fax_number": "631-724-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-4545",
            "fax_number": "631-724-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS OPTICAL INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSS OPTICAL INCORPORATED",
        "enumeration_date": "2009-01-09",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SABIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "631-724-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004366-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21st Century Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.