Active NPI
Empire Vision Center, Inc.
- Eyewear Supplier
- Staten Island, NY
National Provider Identifier
1619339256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EMPIRE VISION CENTER, INC.
- Practice address
- 205 Bricktown Way
Ste a
Staten Island, NY 10309 - Phone
- (203) 235-4646
- Fax
- (203) 235-4647
- NPI assigned
- Mar 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Reynolds
- Title
- VP, Retail Managed Care
- Phone
- (210) 524-6515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
205 Bricktown Way
Ste a
Staten Island, NY 10309
Mailing address
PO Box 418348
Boston, MA 02241-8348
Phone (800) 340-0129
Other names 1
- Davis Visionworks
National Provider Directory
National Provider DirectoryLocations
205 Bricktown Way
Ste A
Staten Island, NY 10309
Phone (203) 235-4646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1619339256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418348",
"telephone_number": "800-340-0129",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BRICKTOWN WAY",
"address_2": "STE A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "203-235-4646",
"fax_number": "203-235-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE VISION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "VP, RETAIL MANAGED CARE",
"authorized_official_telephone_number": "210-524-6515"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Davis Visionworks",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.