NPIMap

Organization Active NPI

Lydig Optical Lab

  • Optician
  • Bronx, NY
National Provider Identifier
1568559771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6908 Issued in NY
Legal business name
LYDIG OPTICAL LAB
Practice address
737 Lydig Ave
Bronx, NY 10462-2103
Phone
(718) 829-2160
NPI assigned
Oct 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael OrloffNPI 1336392885
Title
Optician
Phone
(718) 829-2160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 6908 NY Primary

Addresses

Primary practice location

737 Lydig Ave
Bronx, NY 10462-2103

Mailing address

737 Lydig Ave
Bronx, NY 10462-2103

Other identifiers 1

IdentifierTypeStateIssuer
02243649MedicaidNY

National Provider Directory

National Provider Directory

Locations

737 Lydig Ave
Bronx, NY 10462
Phone (718) 829-2160

Practitioners & affiliated clinicians

Practitioners 2

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568559771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LYDIG AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622103",
            "telephone_number": "718-829-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIG OPTICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORLOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-829-2160"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02243649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, 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.