Organization Active NPI

Glenridge Optical

  • Eyewear Supplier
  • Queens Village, NY
National Provider Identifier
1659571206
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
007032 Issued in NY
Legal business name
GLENRIDGE OPTICAL
Practice address
8787 Francis Lewis Blvd
Queens Village, NY 11427-2867
Phone
(718) 465-4999
Fax
(718) 217-6101
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Ms. Anne Marie Post
Title
Manager
Phone
(718) 465-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 007032 NY Primary

Addresses

Primary practice location

8787 Francis Lewis Blvd
Queens Village, NY 11427-2867

Mailing address

8787 Francis Lewis Blvd
Queens Village, NY 11427-2867
Phone (718) 465-4999

Other identifiers 1

IdentifierTypeStateIssuer
02826460MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1659571206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272867",
            "telephone_number": "718-465-4999",
            "fax_number": "718-217-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272867",
            "telephone_number": "718-465-4999",
            "fax_number": "718-217-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENRIDGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "POST",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-465-4999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "007032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02826460",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.