NPIMap

Organization Active NPI

JD My Optics Corp

  • Optometrist
  • Woodbury, NY
National Provider Identifier
1619659927
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JD MY OPTICS CORP
Practice address
8025 Jericho Tpke
Woodbury, NY 11797-1230
Phone
(516) 364-7474
Fax
(516) 364-7417
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Jorge Padilla
Title
Manager
Phone
(917) 579-2764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8025 Jericho Tpke
Woodbury, NY 11797-1230

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1619659927",
    "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": "JD MY OPTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-579-2764"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 4, 2023; 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.