Organization Active NPI

Stony Brook Vision Care Inc

  • Medical Specialty Clinic/Center
  • Setauket, NY
National Provider Identifier
1659527596
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
U002724 Issued in NY
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

Updated by the provider on Aug 12, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.