Individual provider Active NPI

Richard Alan Bauman, OPTICIAN

  • Optician
  • Woodbury, NY
National Provider Identifier
1629010764
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004024 Issued in NY
Practice address
8285 Jericho Tpke
Optics Plus
Woodbury, NY 11797-1807
Phone
(516) 367-2020
Fax
(516) 367-3379
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 004024 NY Primary

Addresses

Primary practice location

8285 Jericho Tpke
Optics Plus
Woodbury, NY 11797-1807

Mailing address

8285 Jericho Tpke
Optics Plus
Woodbury, NY 11797-1807
Phone (516) 367-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optics Plus Opticians, Inc. Optician Current Accepting new patients

Locations

8285 Jericho Tpke
Unit 1D
Woodbury, NY 11797

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1629010764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 JERICHO TPKE",
            "address_2": "OPTICS PLUS",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971807",
            "telephone_number": "516-367-2020",
            "fax_number": "516-367-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 JERICHO TPKE",
            "address_2": "OPTICS PLUS",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971807",
            "telephone_number": "516-367-2020",
            "fax_number": "516-367-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004024",
            "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 Mar 18, 2009; 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.