Organization Active NPI

MBM Optical Inc

  • Optician
  • Bronx, NY
National Provider Identifier
1740296417
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0076611 Issued in NY
Legal business name
MBM OPTICAL INC
Practice address
76 E 170TH St
Bronx, NY 10452-7013
Phone
(718) 992-4600
NPI assigned
Aug 1, 2006
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
Carmela Mandelstein
Title
Pres
Phone
(516) 467-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 0076611 NY Primary

Addresses

Primary practice location

76 E 170TH St
Bronx, NY 10452-7013

Mailing address

71 Foxcroft Rd
Manhasset, NY 11030-3720
Phone (516) 467-4597

Other identifiers 1

IdentifierTypeStateIssuer
00948316MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740296417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FOXCROFT RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303720",
            "telephone_number": "516-467-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E 170TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104527013",
            "telephone_number": "718-992-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBM OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDELSTEIN",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-467-4597"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0076611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00948316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, 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.