Organization Active NPI

Midway Optics LTD

  • Optometrist
  • Lynbrook, NY
National Provider Identifier
1497703789
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006919 Issued in NY
Legal business name
MIDWAY OPTICS LTD
Practice address
91 Broadway
Lynbrook, NY 11563-3234
Phone
(516) 593-2888
NPI assigned
May 5, 2006
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Elyse M Teran
Title
President
Phone
(516) 593-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006919 NY Primary

Addresses

Primary practice location

91 Broadway
Lynbrook, NY 11563-3234

Mailing address

91 Broadway
Lynbrook, NY 11563-3234
Phone (516) 593-2888

Other identifiers 1

IdentifierTypeStateIssuer
01984270MedicaidNY

National Provider Directory

National Provider Directory

Locations

91 Broadway
Lynbrook, NY 11563
Phone (516) 593-2888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1497703789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "516-593-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "516-593-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY OPTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "TERAN",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-593-2888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.