Organization Active NPI

Specs for Less of Third Ave

  • Optician
  • New York, NY
National Provider Identifier
1528043734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4792 Issued in NY
Legal business name
SPECS FOR LESS OF THIRD AVE
Practice address
1904 3Rd Ave
New York, NY 10029-4601
Phone
(212) 831-3162
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey L. Kirsch
Title
Owner
Phone
(212) 831-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4792 NY Primary

Addresses

Primary practice location

1904 3Rd Ave
New York, NY 10029-4601

Mailing address

1904 3Rd Ave
New York, NY 10029-4601
Phone (212) 831-3162

Other identifiers 1

IdentifierTypeStateIssuer
01178096MedicaidNY

National Provider Directory

National Provider Directory

Locations

1904 3rd Ave
New York, NY 10029
Phone (212) 831-3162

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528043734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294601",
            "telephone_number": "212-831-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294601",
            "telephone_number": "212-831-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECS FOR LESS OF THIRD AVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-831-3162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178096",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.