Organization Active NPI

Herald Square Optometric Associates, P.C.

  • Optometrist
  • New York, NY
National Provider Identifier
1639258148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-5241 Issued in NY
Legal business name
HERALD SQUARE OPTOMETRIC ASSOCIATES, P.C.
Practice address
901 Avenue of the Americas
Manhattan Mall, Level C-2, Inside Lenscrafters
New York, NY 10001-3505
Phone
(212) 967-4177
Fax
(212) 967-2101
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ellen J Brand, O.D.
Title
VP
Phone
(212) 967-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV-5241 NY Primary

Addresses

Primary practice location

901 Avenue of the Americas
Manhattan Mall, Level C-2, Inside Lenscrafters
New York, NY 10001-3505

Mailing address

901 Avenue of the Americas
Manhattan Mall, Level C-2, Inside Lenscrafters
New York, NY 10001-3505
Phone (212) 967-4177

National Provider Directory

National Provider Directory
Tax ID family
Herald Square Optometric Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Avenue of the Americas
New York, NY 10001
Phone (212) 967-4166

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639258148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 AVENUE OF THE AMERICAS",
            "address_2": "MANHATTAN MALL, LEVEL C-2, INSIDE LENSCRAFTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013505",
            "telephone_number": "212-967-4177",
            "fax_number": "212-967-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AVENUE OF THE AMERICAS",
            "address_2": "MANHATTAN MALL, LEVEL C-2, INSIDE LENSCRAFTERS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013505",
            "telephone_number": "212-967-4177",
            "fax_number": "212-967-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERALD SQUARE OPTOMETRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "212-967-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-5241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.