Active NPI
Nanuet Vision Center
- Eyewear Supplier
- Nanuet, NY
National Provider Identifier
1770766107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- TUV5644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glen Blustein, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02672273 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Nanuet, NY
- NPI 1609868728
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.