Individual provider Active NPI

Scott Stein, OPTICIAN

  • Optician
  • New York, NY
National Provider Identifier
1639290190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005216-1 Issued in NY
Practice address
369 Madison Ave
New York, NY 10017-3108
Phone
(212) 599-1220
Fax
(212) 687-5414
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 005216-1 NY Primary

Addresses

Primary practice location

369 Madison Ave
New York, NY 10017-3108

Mailing address

62 Grand Central Terminal
New York, NY 10017-5622
Phone (212) 599-1220

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

State licenses

LicenseStateTypeSpecialty
005216-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Central Optical Co Inc CurrentSince Dec 18, 2017 Accepting new patients
Krystal Klear Optical Inc. CurrentSince Sep 25, 2017 Accepting new patients
Epic Medical Group,Inc Past Accepting new patients

Locations

62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220

369 Madison Ave
New York, NY 10017
Phone (212) 599-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639290190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GRAND CENTRAL TERMINAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175622",
            "telephone_number": "212-599-1220",
            "fax_number": "212-687-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173108",
            "telephone_number": "212-599-1220",
            "fax_number": "212-687-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005216-1",
            "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 Jul 8, 2007; 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.