Organization Active NPI

Mar Optical Inc.

  • Optician
  • Brooklyn, NY
National Provider Identifier
1700919453
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4019 Issued in NY
Legal business name
MAR OPTICAL INC.
Practice address
2115 East 15 Street
Brooklyn, NY 11229-4101
Phone
(718) 336-0600
Fax
(718) 336-0649
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Mr. Robert M Kane, OPT. DISP.NPI 1861444762
Title
Ceo
Phone
(718) 336-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4019 NY Primary

Addresses

Primary practice location

2115 East 15 Street
Brooklyn, NY 11229-4101

Mailing address

2115 E 15TH St
Brooklyn, NY 11229-4364
Phone (718) 336-0600

Other identifiers 1

IdentifierTypeStateIssuer
01151940MedicaidNY

Other names 1

  • Eyes on ave 'U' Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1700919453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294364",
            "telephone_number": "718-336-0600",
            "fax_number": "718-336-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EAST 15 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294101",
            "telephone_number": "718-336-0600",
            "fax_number": "718-336-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAR OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-336-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPT. DISP."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01151940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on ave 'U'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.