South Country Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

003345 Issued in NY

Legal business name

SOUTH COUNTRY OPTICIANS INC

Practice address

331 E Main St
Suite 3
Patchogue, NY 11772-3114

Phone

(631) 758-4466

Fax

(631) 758-4467

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward Leonard Rzemieniewski, OPHTHALMIC DISPENSER

Title

Owner VP Sec

Phone

(631) 758-4466

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679645238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-758-4466",
            "fax_number": "631-758-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-758-4466",
            "fax_number": "631-758-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTRY OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RZEMIENIEWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER VP SEC",
        "authorized_official_telephone_number": "631-758-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPHTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "003345",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00986865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyung Hee Song, NP
• Kelley Sookraj
• Donna Soucy
• Sound Physicians of New York, PLLC
• South Brookhaven Obstetric & Gynecologic Associates PC
• South Shore Medical Solutions LLC
• South Shore Neurologic Associates PC
• South Shore Neurologic Associates, PC
• South Shore Speech Pathology
• Joseph P Souza

• Optician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.