James Decicco, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

5410 Issued in NY

Practice address

699A Old Country Rd
Huntington Station, NY 11746-4613

Phone

(631) 271-3520

Fax

(631) 271-3706

NPI assigned

Jan 12, 2007

Last updated

Sep 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunshine Optical, Inc.

  dba S. H. Laufer Vision World

  • Optician
  • Huntington Station, NY
  • NPI 1447404587
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1750432399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699A OLD COUNTRY RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464613",
            "telephone_number": "631-271-3520",
            "fax_number": "631-271-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699A OLD COUNTRY RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464613",
            "telephone_number": "631-271-3520",
            "fax_number": "631-271-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECICCO",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "5410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00991259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Davies-Sekosky
• Davita of New York Inc (Huntington Kidney Center)
• DBS Chiropractic PC
• Dean's Agency LLC
• Deborah Diton Gerofsky, Speech Language Pathology, PC
• Alicia Delgado-Agudio, MFT
• Glenn Walton Deluca, DMD
• Cindy Dempsey, BCBA
• Barbara C Denicola, MS CCC/SLP
• Akiva Dennis

• Optician in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.