Organization Active NPI

Shades of Montague

Doing business as Heights Vision Center

  • Corneal and Contact Management Optometrist
  • Brooklyn, NY
National Provider Identifier
1720275175
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
003978 Issued in NY
Legal business name
SHADES OF MONTAGUE
Doing business as
Heights Vision Center
Practice address
132 Montague St
Brooklyn, NY 11201-3521
Phone
(718) 852-1149
Fax
(718) 522-4379
NPI assigned
Oct 1, 2007
Last updated
Feb 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Stuart Addis Friedman, O.D.NPI 1497831846
Title
President
Phone
(718) 852-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 003978 NY Primary

Addresses

Primary practice location

132 Montague St
Brooklyn, NY 11201-3521

Mailing address

132 Montague St
Brooklyn, NY 11201-3521
Phone (718) 852-1149

Other names 1

  • Heights Vision Center 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, 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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1720275175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013521",
            "telephone_number": "718-852-1149",
            "fax_number": "718-522-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013521",
            "telephone_number": "718-852-1149",
            "fax_number": "718-522-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF MONTAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "ADDIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-852-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "003978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Vision Center",
            "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 Feb 7, 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.