Organization Active NPI

Pharmacy Optical

  • Eyewear Supplier
  • Astoria, NY
National Provider Identifier
1760847487
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
009444-1 Issued in NY
Legal business name
PHARMACY OPTICAL
Practice address
2322 30TH Rd Apt 3F
Astoria, NY 11102-3259
Phone
(914) 671-4843
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Ms. Josh Bismuth, OPTICIAN
Title
Sole Proprieter
Phone
(914) 671-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 009444-1 NY Primary

Addresses

Primary practice location

2322 30TH Rd Apt 3F
Astoria, NY 11102-3259

Mailing address

2322 30TH Rd Apt 3F
Astoria, NY 11102-3259
Phone (914) 671-4843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1760847487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 30TH RD APT 3F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023259",
            "telephone_number": "914-671-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 30TH RD APT 3F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023259",
            "telephone_number": "914-671-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "BISMUTH",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "914-671-4843",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "009444-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.