Active NPI
Ligia Amparo Vazquez
- Optician
- Ny, NY
National Provider Identifier
1508980335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0054001
- Practice address
- 285 Fort Washington Ave.
Ny, NY 10032 - Phone
- (212) 927-0060
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 0054001 | NY | Primary |
Addresses
Primary practice location
285 Fort Washington Ave.
Ny, NY 10032
Mailing address
15 Cornelia Dr
Greenwich, CT 06830
Phone (203) 542-5184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00979442 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0054001 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1508980335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORNELIA DR",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06830",
"telephone_number": "203-542-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 FORT WASHINGTON AVE.",
"city": "NY",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-927-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "LIGIA",
"middle_name": "AMPARO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "0054001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00979442",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.