Organization Active NPI

Indelicato Opticians Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1679639231
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
C003893-1 Issued in NY
Legal business name
INDELICATO OPTICIANS INC.
Practice address
6819 18TH Ave
Brooklyn, NY 11204-4416
Phone
(718) 236-6090
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Vincent IndelicatoNPI 1518147834
Title
President
Phone
(718) 236-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C003893-1 NY Primary

Addresses

Primary practice location

6819 18TH Ave
Brooklyn, NY 11204-4416

Mailing address

6819 18TH Ave
Brooklyn, NY 11204-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227001264 NY Part B Supplier - Clinic/Group Practice 6305140708 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6819 18th Ave
Brooklyn, NY 11204
Phone (718) 236-6090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1679639231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044416",
            "telephone_number": "718-236-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDELICATO OPTICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "INDELICATO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-236-6090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "C003893-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.