Pen Optical and Associates Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0056721 Issued in NY

Legal business name

PEN OPTICAL AND ASSOCIATES INC.

Practice address

450 7TH Ave
Suite 300
New York, NY 10123-0101

Phone

(212) 279-4826

Fax

(212) 563-3047

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Craig Brian Tisch, O.D.NPI 1346316718

Title

Optometrist

Phone

(212) 279-4826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Craig Brian Tisch, OD

  • Optometrist
  • New York, NY
  • NPI 1346316718
  Medicare reassignment Authorized official
• Kathy L Tung, O.D.

  • Optometrist
  • New York, NY
  • NPI 1760770416
  NPD
• Gregory J Pamel, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1871564963
  NPD (past)
• Noelle Sun, OD

  • Optometrist
  • New York, NY
  • NPI 1902288202
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1699957944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-279-4826",
            "fax_number": "212-563-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 7TH AVE",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230101",
            "telephone_number": "212-279-4826",
            "fax_number": "212-563-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEN OPTICAL AND ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "TISCH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "212-279-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0056721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Pemberton, L.AC.
• Laura H. Pemberton, R.N.
• Timothy A Pemberton, PA-C
• Shana Pembroke
• Avigdor Pemper, L.P.
• Camila Juliet Pena Batista, LMSW
• Yomaris Mercedes Pena Pena, MD
• Diego Alfonso Pena-Medina
• Francia Pena-Vasquez
• Ana Amarily Pena-Velez, TEACHER

• Optometrist in New York, NY
• Providers in New York, 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 11, 2013; 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.