Woodhaven Optometric Associates, P.C.

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

Organization subpart

No

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.

Title

President

Phone

(718) 847-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodhaven Eye Care Other name

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01526636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhaven Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Eyewear Supplier in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Eyewear Supplier in New York

• 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.