Organization Active NPI

Gruen Ross Optika, LLC

  • Optometrist
  • New York, NY
National Provider Identifier
1649426933
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0069621 Issued in NY
Legal business name
GRUEN ROSS OPTIKA, LLC
Practice address
1076 3Rd Ave
New York, NY 10065-7476
Phone
(212) 759-2190
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Jon Gruen
Title
President/Ceo
Phone
(212) 875-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV0069621 NY Primary

Addresses

Primary practice location

1076 3Rd Ave
New York, NY 10065-7476

Mailing address

180 South St
Suite 101
New Providence, NJ 07974-1991
Phone (908) 673-3143

National Provider Directory

National Provider Directory
Tax ID family
Optyx LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1649426933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SOUTH ST",
            "address_2": "SUITE 101",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741991",
            "telephone_number": "908-673-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657476",
            "telephone_number": "212-759-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUEN ROSS OPTIKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "212-875-1801"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0069621",
            "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 18, 2008; 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.