NPIMap

Organization Active NPI

William E. Guerrero O.D. P.C.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1780968586
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005439 Issued in NY
Legal business name
WILLIAM E. GUERRERO O.D. P.C.
Practice address
3730 E Tremont Ave
Bronx, NY 10465-2007
Phone
(718) 792-9590
Fax
(718) 792-9606
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. William Edward Guerrero, O.D.
Title
Optometrist
Phone
(718) 792-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T005439 NY Primary

Addresses

Primary practice location

3730 E Tremont Ave
Bronx, NY 10465-2007

Mailing address

3730 E Tremont Ave
Bronx, NY 10465-2007
Phone (718) 792-9590

Other identifiers 1

IdentifierTypeStateIssuer
01692819MedicaidNY

Other names 1

  • Throggs Neck Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1780968586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652007",
            "telephone_number": "718-792-9590",
            "fax_number": "718-792-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652007",
            "telephone_number": "718-792-9590",
            "fax_number": "718-792-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. GUERRERO O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-792-9590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01692819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Throggs Neck Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.