Claraliz Santos Utate

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

4930 Broadway
New York, NY 10034-3182

Phone

(347) 720-0844

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Marca Eye Care Inc

  dba La Marca Eye Care

  • Optometrist
  • New York, NY
  • NPI 1740916741
  NPD Authorized official

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1538804109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343182",
            "telephone_number": "347-720-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100343182",
            "telephone_number": "347-720-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS UTATE",
        "first_name": "CLARALIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "000000",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Frank Santoro, PHD
• Brooke Santoro, LMSW
• Julia Annamaria Santoro
• Gabriel Santos Malave
• Ernesto Graciano Santos Martin, MD
• David Santos-Donaldson, LCSW-R
• Carlos Garcia Santos-Gallego, MD, PHD
• Marisol Santos-Gonzalez, M.S. E.D
• Elke Tiffany Santos-Medina
• Carolin Santos-Niedzwiecki

• Optician in New York, NY
• Providers in New York, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.