Woodbury Optical Studio, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV00004847-1 Issued in NY

Legal business name

WOODBURY OPTICAL STUDIO, INC.

Practice address

185 Woodbury Rd
Hicksville, NY 11801-3029

Phone

(516) 681-3937

Fax

(516) 681-1272

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dean E. Hart, ODNPI 1699855486

Title

President

Phone

(516) 681-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean E Hart, OD

  • Optometrist
  • Hicksville, NY
  • NPI 1699855486
  Authorized official Same address or phone
• Kevin Darnell Anthony Atkinson, OD

  • Optometrist
  • Jackson Heights, NY
  • NPI 1215751961
  NPD (past)
• Sajid Malik, MD

  • Ophthalmology Physician
  • Hicksville, NY
  • NPI 1235227349
  NPD (past)
• Anthony Marinelli, OD

  • Optometrist
  • Patchogue, NY
  • NPI 1972526085
  NPD (past)
• Stefania Maria Paniccia, O.D.

  • Optometrist
  • Bayamon, PR
  • NPI 1437582665
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699824169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WOODBURY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013029",
            "telephone_number": "516-681-3937",
            "fax_number": "516-681-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WOODBURY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013029",
            "telephone_number": "516-681-3937",
            "fax_number": "516-681-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY OPTICAL STUDIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-681-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV00004847-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey P. Wolfer, DDS
• Lauren Woll, CRPA-P
• Tedros Wondimu
• Lei Wong, M.D.
• Pui P Wong, RN
• Alison Wright
• Amber Wright
• Robert Wright, RN
• Robert C Wulforst, L.AC, A.P.
• Audrey Yackavage

• Eyewear Supplier in Hicksville, NY
• Providers in Hicksville, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.