Center Stage Optique LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

C009255 Issued in NY

Legal business name

CENTER STAGE OPTIQUE LLC

Practice address

45 7TH Ave
New York, NY 10011-6601

Phone

(917) 656-2290

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory FreidusNPI 1013366202

Title

President

Phone

(917) 656-2290

Specialties & licenses 1

Addresses

Other names 1

• Jeff & Son Optique LLC Other name

Practitioners 1

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.

• Gregory Freidus

  • Optician
  • New York, NY
  • NPI 1013366202
  NPD (past) Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1538518725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 90TH ST APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241215",
            "telephone_number": "917-656-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116601",
            "telephone_number": "917-656-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STAGE OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "FREIDUS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-656-2290"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "C009255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff & Son Optique LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in New York, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.