Active NPI
Stony Brook Vision Care Inc
- Medical Specialty Clinic/Center
- Setauket, NY
National Provider Identifier
1659527596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- U002724
- Legal business name
- STONY BROOK VISION CARE INC
- Practice address
- 175 Route 25a
Setauket, NY 11733-2947 - Phone
- (631) 751-6655
- Fax
- (631) 751-6077
- NPI assigned
- Aug 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard S Goldsmith, OD
- Title
- President
- Phone
- (631) 751-6655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | U002724 | NY | Primary |
Addresses
Primary practice location
175 Route 25a
Setauket, NY 11733-2947
Mailing address
175 Route 25a
Setauket, NY 11733-2947
Phone (631) 751-6655
National Provider Directory
National Provider DirectoryLocations
175 Route 25A
Setauket, NY 11733
Phone (631) 476-7141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1659527596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 ROUTE 25A",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117332947",
"telephone_number": "631-751-6655",
"fax_number": "631-751-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 ROUTE 25A",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117332947",
"telephone_number": "631-751-6655",
"fax_number": "631-751-6077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONY BROOK VISION CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "GOLDSMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-751-6655",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "U002724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.