Organization Active NPI

Optic Masters, Inc

  • Eyewear Supplier
  • Woodbury, NY
National Provider Identifier
1558585018
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4001 Issued in NY
Legal business name
OPTIC MASTERS, INC
Practice address
8025 Jericho Tpke
Woodbury, NY 11797-1230
Phone
(516) 364-7474
Fax
(516) 364-7417
NPI assigned
Apr 13, 2007
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Mr. Arthur Lyle Singer, OPTICIAN
Title
Owner
Phone
(516) 364-7474

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4001 NY Primary
Optometrist 152W00000X 5669 NY
Optician 156FX1800X 4001 NY

Addresses

Primary practice location

8025 Jericho Tpke
Woodbury, NY 11797-1230

Mailing address

8025 Jericho Tpke
Woodbury, NY 11797-1230
Phone (516) 364-7474

Other identifiers 5

IdentifierTypeStateIssuer
0165096OtherNYGHI
7499145OtherNYAETNA PPO
2468499OtherNYAETNA HMO
2420859OtherNYUNITED HEALTHCARE
P770635OtherNYOXFORD HEALTH PLANS

National Provider Directory

National Provider Directory

Locations

8025 Jericho Tpke
Woodbury, NY 11797
Phone (516) 364-7474

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1558585018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971230",
            "telephone_number": "516-364-7474",
            "fax_number": "516-364-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971230",
            "telephone_number": "516-364-7474",
            "fax_number": "516-364-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC MASTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-364-7474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "4001",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5669",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0165096",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7499145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2468499",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2420859",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P770635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.