Active NPI
Nikki Takahashi
- Optometrist
- Red Hook, NY
National Provider Identifier
1760975841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008753
- Practice address
- 7381 S Broadway
Red Hook, NY 12571-1745 - Phone
- (845) 758-8818
- Fax
- (845) 758-9215
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008753 | NY | Primary |
Addresses
Primary practice location
7381 S Broadway
Red Hook, NY 12571-1745
Mailing address
7381 S Broadway
Red Hook, NY 12571-1745
Phone (845) 758-8818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008753 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1760975841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7381 S BROADWAY",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711745",
"telephone_number": "845-758-8818",
"fax_number": "845-758-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7381 S BROADWAY",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711745",
"telephone_number": "845-758-8818",
"fax_number": "845-758-9215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAHASHI",
"first_name": "NIKKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Hook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.