Active NPI
Geppetto Management Corp
- Optometrist
- East Setauket, NY
National Provider Identifier
1528347374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GEPPETTO MANAGEMENT CORP
- Practice address
- 3990 Nesconset Hwy
East Setauket, NY 11733-3334 - Phone
- (631) 474-3808
- NPI assigned
- Aug 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dmitry Gutkovich, OD
- Title
- Secretary
- Phone
- (718) 631-8211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3990 Nesconset Hwy
East Setauket, NY 11733-3334
Mailing address
14 Scenicview Cres
Manorville, NY 11949-2978
Phone (631) 830-3800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Riverhead, NY
- NPI 1659467587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1528347374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SCENICVIEW CRES",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492978",
"telephone_number": "631-830-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 NESCONSET HWY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333334",
"telephone_number": "631-474-3808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEPPETTO MANAGEMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "GUTKOVICH",
"authorized_official_first_name": "DMITRY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "718-631-8211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.