The Optical Center @ Ophthalmology Association of Bay Ridge Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4038 Issued in NY

Legal business name

THE OPTICAL CENTER @ OPHTHALMOLOGY ASSOCIATION OF BAY RIDGE INC.

Practice address

8310 5TH Ave
Brooklyn, NY 11209-4511

Phone

(718) 680-2020

Fax

(718) 680-5771

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Steven Ganz, OD

Title

President

Phone

(718) 680-2020

Specialties & licenses 1

Addresses

Other names 1

• The Optical Center of Bay Ridge Doing business as

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1659599801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094511",
            "telephone_number": "718-680-2020",
            "fax_number": "718-680-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094511",
            "telephone_number": "718-680-2020",
            "fax_number": "718-680-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL CENTER @ OPHTHALMOLOGY ASSOCIATION OF BAY RIDGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-680-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optical Center of Bay Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.