Optical Latina

Primary specialty

OptometristTaxonomy code 152W00000X

License

T5611-1 Issued in NY

Legal business name

OPTICAL LATINA

Practice address

5418 5TH Ave
Brooklyn, NY 11220-3113

Phone

(718) 439-1300

Fax

(718) 439-1613

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By 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

Mr. David Claudio

Title

Owner

Phone

(718) 439-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588709042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203113",
            "telephone_number": "718-439-1300",
            "fax_number": "718-439-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203113",
            "telephone_number": "718-439-1300",
            "fax_number": "718-439-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL LATINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAUDIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-439-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T5611-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.