Dr. John D. Iamele OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004906 Issued in NY

Legal business name

DR. JOHN D. IAMELE OD PC

Practice address

164 E Main St
Huntington, NY 11743-2955

Phone

(631) 385-2020

Fax

(631) 385-5688

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John D Iamele, OD

Title

Owner

Phone

(631) 385-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1760539159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432955",
            "telephone_number": "631-385-2020",
            "fax_number": "631-385-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN D. IAMELE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "IAMELE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-385-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC DME",
            "identifier": "5088400001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Drayzen

• Optometrist in Huntington, NY
• Providers in Huntington, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.