Active NPI
Carter Evan Hildebrand
- Optician
- Middle Island, NY
National Provider Identifier
1780402131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 10156-01
- Practice address
- 750 Middle Country Rd
Middle Island, NY 11953-2542 - Phone
- (631) 345-0065
- NPI assigned
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 10156-01 | NY | Primary |
Addresses
Primary practice location
750 Middle Country Rd
Middle Island, NY 11953-2542
Mailing address
750 Middle Country Rd
Middle Island, NY 11953-2542
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10156-01 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1780402131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MIDDLE COUNTRY RD",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119532542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MIDDLE COUNTRY RD",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119532542",
"telephone_number": "631-345-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "CARTER",
"middle_name": "EVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "10156-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.