NPIMap

Organization Active NPI

20-20 Lab Inc.

Doing business as 20-20 Optical

  • Durable Medical Equipment & Medical Supplies
  • Shirley, NY
National Provider Identifier
1700935152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
005336-1 Issued in NY
Legal business name
20-20 LAB INC.
Doing business as
20-20 Optical
Practice address
800 Montauk Hwy
Suite 13
Shirley, NY 11967-2128
Phone
(631) 399-0004
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Pollina Joseph Pollina, OPHTHALCIM DISPENSER
Title
President
Phone
(631) 399-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 005336-1 NY Primary

Addresses

Primary practice location

800 Montauk Hwy
Suite 13
Shirley, NY 11967-2128

Mailing address

800 Montauk Hwy
Suite 13
Shirley, NY 11967-2128
Phone (631) 399-0004

Other names 1

  • 20-20 Optical Doing business as

National Provider Directory

National Provider Directory

Locations

800 Montauk Hwy
Ste 13
Shirley, NY 11967
Phone (631) 399-0004

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700935152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MONTAUK HWY",
            "address_2": "SUITE 13",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672128",
            "telephone_number": "631-399-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONTAUK HWY",
            "address_2": "SUITE 13",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672128",
            "telephone_number": "631-399-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLINA",
        "authorized_official_first_name": "FRANK POLLINA",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-399-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPHTHALCIM DISPENSER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "005336-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20-20 Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shirley, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.