Organization Active NPI

Opyica 207 International Inc.

  • Optician
  • New York, NY
National Provider Identifier
1720156904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0073791 Issued in NY
Legal business name
OPYICA 207 INTERNATIONAL INC.
Practice address
573 West 207 Street
New York, NY 10034-2607
Phone
(212) 569-3099
Fax
(212) 569-3166
NPI assigned
Dec 4, 2006
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
Guillermo Ysmael Reyes
Title
President
Phone
(212) 569-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 0073791 NY Primary

Addresses

Primary practice location

573 West 207 Street
New York, NY 10034-2607

Mailing address

573 West 207 Street
New York, NY 10034-2607
Phone (212) 569-3099

Other identifiers 1

IdentifierTypeStateIssuer
02266351MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720156904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 WEST 207 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342607",
            "telephone_number": "212-569-3099",
            "fax_number": "212-569-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 WEST 207 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342607",
            "telephone_number": "212-569-3099",
            "fax_number": "212-569-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPYICA 207 INTERNATIONAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "YSMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-569-3099"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0073791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02266351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.