Organization Active NPI

Nanuet Vision Center

  • Eyewear Supplier
  • Nanuet, NY
National Provider Identifier
1770766107
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV5644 Issued in NY
Legal business name
NANUET VISION CENTER
Practice address
125 Rockland PLZ
Nanuet, NY 10954-2212
Phone
(845) 623-5100
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Glen Blustein, O.D.NPI 1609868728
Title
Owner
Phone
(845) 623-5100

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
Eyewear Supplier 332H00000X TUV5644 NY Primary

Addresses

Primary practice location

125 Rockland PLZ
Nanuet, NY 10954-2212

Mailing address

125 Rockland PLZ
Nanuet, NY 10954-2212
Phone (845) 623-5100

Other identifiers 1

IdentifierTypeStateIssuer
02672273MedicaidNY

National Provider Directory

National Provider Directory

Locations

125 Rockland Plz
Nanuet, NY 10954
Phone (845) 623-5100

Practitioners & affiliated clinicians

Practitioners 1

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1770766107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ROCKLAND PLZ",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542212",
            "telephone_number": "845-623-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROCKLAND PLZ",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542212",
            "telephone_number": "845-623-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANUET VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "BLUSTEIN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-623-5100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV5644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.