Organization Active NPI

Woodhaven Optometric Associates, P.C.

  • Eyewear Supplier
  • Woodhaven, NY
National Provider Identifier
1780750141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV004811 Issued in NY
Legal business name
WOODHAVEN OPTOMETRIC ASSOCIATES, P.C.
Practice address
9301 Jamaica Ave
Woodhaven, NY 11421-2220
Phone
(718) 847-8877
Fax
(718) 849-5934
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ira Marc Price, O.D.NPI 1831265446
Title
President
Phone
(718) 847-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TUV004811 NY Primary

Addresses

Primary practice location

9301 Jamaica Ave
Woodhaven, NY 11421-2220

Mailing address

9301 Jamaica Ave
Woodhaven, NY 11421-2220
Phone (718) 847-8877

Other names 1

  • Woodhaven Eye Care Other name

National Provider Directory

National Provider Directory

Locations

9301 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 847-8877

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780750141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212220",
            "telephone_number": "718-847-8877",
            "fax_number": "718-849-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212220",
            "telephone_number": "718-847-8877",
            "fax_number": "718-849-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN OPTOMETRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-847-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV004811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhaven Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.