Organization Active NPI

Pelham Optical Inc

  • Eyewear Supplier
  • Pelham, NY
National Provider Identifier
1770918690
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PELHAM OPTICAL INC
Practice address
4678 Boston Post Rd
Pelham, NY 10803-3055
Phone
(914) 738-2885
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Bruce Farber
Title
Owner
Phone
(914) 738-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

4678 Boston Post Rd
Pelham, NY 10803-3055

Mailing address

4678 Boston Post Rd
Pelham, NY 10803-3055
Phone (914) 738-2885

Other names 1

  • Vision World Doing business as

National Provider Directory

National Provider Directory

Locations

4678 Boston Post Rd
Pelham, NY 10803
Phone (914) 738-2885

Practitioners & affiliated clinicians

Practitioners 3

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1770918690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 BOSTON POST RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033055",
            "telephone_number": "914-738-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 BOSTON POST RD",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033055",
            "telephone_number": "914-738-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-738-2885"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.