Organization Active NPI

Empire Vision Center, Inc.

  • Eyewear Supplier
  • Staten Island, NY
National Provider Identifier
1619339256
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Mar 23, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Staten Island, NY

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.

Verify at the official NPI Registry.