Gordy Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV004987 Issued in NY

Legal business name

GORDY OPTICAL, LLC

Doing business as

Cohen's Fashion Optical

Practice address

3529 Long Beach Rd
Oceanside, NY 11572-5701

Phone

(516) 764-2020

Fax

(516) 764-1518

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Glen Levin

Title

MGR

Phone

(516) 764-2020

Specialties & licenses 1

Addresses

Other names 1

• Cohen's Fashion Optical Doing business as

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1689009466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725701",
            "telephone_number": "516-764-2020",
            "fax_number": "516-764-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725701",
            "telephone_number": "516-764-2020",
            "fax_number": "516-764-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDY OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "516-764-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV004987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren Richard Goldstein, DDS
• Ari Luria Goldwaser, DO
• Armorel Catherine Goodman, MS, PT
• Lance Stewart Gordon, DO
• Sharon Sue Gordon
• Kelly Gorman, MD
• Alexander Gorny, M.D.
• Pavel Gozenput, M.D.
• Aidan Graham
• Shanelle Tashae Graham, PA-C

• Eyewear Supplier in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.