Individual provider Active NPI

Marvin Slomowitz, OPHTHALMIC DISPENSER

  • Ophthalmic Technician/Technologist
  • Brooklyn, NY
National Provider Identifier
1720319312
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
004482-1 Issued in NY
Practice address
1221 E 9TH St
Brooklyn, NY 11230-5107
Phone
(718) 338-0949
Fax
(718) 338-0949
NPI assigned
Jan 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 004482-1 NY Primary

Addresses

Primary practice location

1221 E 9TH St
Brooklyn, NY 11230-5107

Mailing address

1221 E 9TH St
Brooklyn, NY 11230-5107
Phone (718) 338-0949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004482-1NYMDOphthalmic Technician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1720319312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305107",
            "telephone_number": "718-338-0949",
            "fax_number": "718-338-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305107",
            "telephone_number": "718-338-0949",
            "fax_number": "718-338-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMOWITZ",
        "first_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "004482-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2010; 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.