Organization Active NPI

Wen Drew Optical Corp

  • Durable Medical Equipment & Medical Supplies
  • Valley Stream, NY
National Provider Identifier
1760622575
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4632 Issued in NY
Legal business name
WEN DREW OPTICAL CORP
Practice address
46 W Sunrise Hwy
Valley Stream, NY 11581-1104
Phone
(516) 791-5300
Fax
(516) 791-5391
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Gary Stuart Feigelman, DISPENSING OPTICIANNPI 1336223858
Title
President
Phone
(516) 791-5300

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
Durable Medical Equipment & Medical Supplies 332B00000X 4632 NY Primary

Addresses

Primary practice location

46 W Sunrise Hwy
Valley Stream, NY 11581-1104

Mailing address

46 W Sunrise Hwy
Valley Stream, NY 11581-1104
Phone (516) 791-5300

Other names 1

  • Island Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150120001685 NY Part B Supplier - Clinic/Group Practice 1658490651 Receives reassigned benefits from 3 practitioners
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

46 W Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 791-5300

Practitioners & affiliated clinicians

Practitioners 4

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": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1760622575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811104",
            "telephone_number": "516-791-5300",
            "fax_number": "516-791-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811104",
            "telephone_number": "516-791-5300",
            "fax_number": "516-791-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEN DREW OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "FEIGELMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-791-5300",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.