Individual provider Active NPI

David Pazos, OPHTHALMIC DISPENSER

  • Ophthalmic Technician/Technologist
  • Fresh Meadows, NY
National Provider Identifier
1669625620
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
008847-1 Issued in NY
Practice address
7051 Parsons Blvd
Fresh Meadows, NY 11365-3049
Phone
(718) 380-7788
Fax
(718) 380-7788
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 008847-1 NY Primary

Addresses

Primary practice location

7051 Parsons Blvd
Fresh Meadows, NY 11365-3049

Mailing address

7051 Parsons Blvd
Fresh Meadows, NY 11365-3049
Phone (718) 380-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008847-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewel Optical Inc. PastSince Sep 1, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1669625620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 PARSONS BLVD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653049",
            "telephone_number": "718-380-7788",
            "fax_number": "718-380-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 PARSONS BLVD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653049",
            "telephone_number": "718-380-7788",
            "fax_number": "718-380-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "008847-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.