Active NPI
SH & HH Optical Corp
Doing business as supreme spectacle
- Eyewear Supplier
- New York, NY
National Provider Identifier
1710253034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- T005254
- Legal business name
- SH & HH OPTICAL CORP
- Doing business as
- supreme spectacle
- Practice address
- 4250 Broadway
New York, NY 10033-3748 - Phone
- (212) 795-5640
- Fax
- (212) 927-6200
- NPI assigned
- Mar 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shari Lynn Hausman, O.D.
- Title
- Optometrist
- Phone
- (212) 795-5640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | T005254 | NY | Primary |
Addresses
Primary practice location
4250 Broadway
New York, NY 10033-3748
Mailing address
4250 Broadway
New York, NY 10033-3748
Phone (212) 795-5640
Other names 1
- supreme spectacle
National Provider Directory
National Provider Directory- Tax ID family
- SH HH Optical Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1710253034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333748",
"telephone_number": "212-795-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333748",
"telephone_number": "212-795-5640",
"fax_number": "212-927-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH & HH OPTICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "HAUSMAN",
"authorized_official_first_name": "SHARI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "212-795-5640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NY",
"license": "T005254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "supreme spectacle",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.