Anchor Optometric Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007637-1 Issued in NY

Legal business name

ANCHOR OPTOMETRIC CARE PC

Practice address

21714 Merrick Blvd
Laurelton, NY 11413-1917

Phone

(718) 978-0100

Fax

(718) 978-0101

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Chisom Iwuanyanwu

Title

Director

Phone

(718) 723-4150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1689938474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21714 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21714 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131917",
            "telephone_number": "718-978-0100",
            "fax_number": "718-978-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR OPTOMETRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "IWUANYANWU",
        "authorized_official_first_name": "CHISOM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-723-4150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Alli, CERTIFIED DOULA
• Carol Allicock
• Ludy Ambroise
• Marie Wizlie Ambroise, LPN
• American Medical Care PLLC
• Angela A. Andalcio, NP
• Yvonne Veronica Andall
• Olawunmi O Aninye, SPECIAL INSTRUCTION
• Ayodeji Adegbola Anjorin
• Alania S Appleton, LMSW

• Optometrist in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.