Grand Central Optical Co Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GRAND CENTRAL OPTICAL CO INC

Practice address

340 Madison Ave
New York, NY 10173-0002

Phone

(212) 599-1220

Fax

(646) 666-5710

NPI assigned

May 16, 2006

Last updated

Apr 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Doug Stein, OPTICIANNPI 1639290190

Title

President

Phone

(212) 599-1220

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonah Bernard Berman, OD

  • Optometrist
  • New York, NY
  • NPI 1194702589
  Medicare reassignment NPD
• Michael Block, O.D.

  • Optometrist
  • New York, NY
  • NPI 1750334967
  Medicare reassignment NPD
• Lisa A Declemente, O.D.

  • Optometrist
  • New York, NY
  • NPI 1578780250
  Medicare reassignment NPD
• Erica Meltzer, OD

  • Optometrist
  • Great Neck, NY
  • NPI 1306572672
  Medicare reassignment NPD
• Mijin Sohn, O.D.

  • Optometrist
  • New York, NY
  • NPI 1881609246
  Medicare reassignment NPD
• Jennifer Tsai

  • Optometrist
  • New York, NY
  • NPI 1134532492
  Medicare reassignment NPD
• Puja Shah, O.D

  • Optometrist
  • Chicago, IL
  • NPI 1558675942

  NY

  Medicare reassignment NPD
• Scott Stein, OPTICIAN

  • Optician
  • New York, NY
  • NPI 1639290190
  NPD Authorized official
• Albert Law, O.D.

  • Optometrist
  • New York, NY
  • NPI 1366423659
  NPD (past)
• Gregg Randell, OPTICIAN

  • Optician
  • New York, NY
  • NPI 1689121790
  NPD (past)
• Jessica Rauch, O.D.

  • Optometrist
  • New York, NY
  • NPI 1023061330
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1649221268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101730002",
            "telephone_number": "212-599-1220",
            "fax_number": "646-666-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101730002",
            "telephone_number": "212-599-1220",
            "fax_number": "646-666-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CENTRAL OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-599-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "5216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05816793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Central Chiropractice & Physical Therapy PLLC
• Grand Central Dental of Manhattan
• Grand Central Hand Therapy Center
• Grand Central Medical P.C.
• Grand Central Medical Services PLLC
• Grand Central Physical Medicine&Rehabilitation PC
• Grand Central Physical Therapy
• Grand Central Podiatric Care and Surgery
• Grand Central Psychology PLLC
• Grand Cornell Cardiology PC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.