Organization Active NPI

J&L Optical Corp

  • Optometrist
  • Middletown, NY
National Provider Identifier
1760092977
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
J&L OPTICAL CORP
Doing business as
Ultimate Spectacle
Practice address
125 Dolson Ave
Middletown, NY 10940-6559
Phone
(845) 342-2020
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Dr. Arthur VaynerNPI 1619927472
Title
OD
Phone
(347) 842-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

125 Dolson Ave
Middletown, NY 10940-6559

Mailing address

125 Dolson Ave
Middletown, NY 10940-6559
Phone (845) 342-2020

Other names 1

  • Ultimate Spectacle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106000101 NY Part B Supplier - Clinic/Group Practice 8224448014 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NY

National Provider Directory

National Provider Directory

Locations

125 Dolson Ave
Middletown, NY 10940
Phone (845) 342-2020

125 Dolson Ave
Ste 31
Middletown, NY 10940
Phone (845) 342-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1760092977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406559",
            "telephone_number": "845-342-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOLSON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406559",
            "telephone_number": "845-342-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&L OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "347-842-8871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Spectacle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ultimate Spectacle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.