Individual provider Active NPI

April Slobodin, LDO

  • Optician
  • Amityville, NY
National Provider Identifier
1639630841
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
009158 Issued in NY
Practice address
20 Merrick Rd # 30
Amityville, NY 11701-3455
Phone
(631) 693-0041
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 009158 NY Primary

Addresses

Primary practice location

20 Merrick Rd # 30
Amityville, NY 11701-3455

Mailing address

20 Merrick Rd # 30
Amityville, NY 11701-3455
Phone (631) 693-0041

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
009158NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1639630841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MERRICK RD # 30",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013455",
            "telephone_number": "631-693-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MERRICK RD # 30",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013455",
            "telephone_number": "631-693-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODIN",
        "first_name": "APRIL",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.