Main St. Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00615400 Issued in NJ

Legal business name

MAIN ST. OPTICAL LLC

Practice address

1010 Main St
Paterson, NJ 07503-2212

Phone

(862) 239-9550

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Yasir MasadehNPI 1598920373

Title

Owner

Phone

(862) 239-9550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasir Daifallah Masadeh, D.O.

  • Optometrist
  • Jersey City, NJ
  • NPI 1598920373
  NPD (past) Authorized official

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1790236735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "862-239-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN ST. OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "MASADEH",
        "authorized_official_first_name": "YASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-239-9550"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00615400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maimon Care PC
• Main Chiro-Care Center PC
• Main Foot and Ankle Clinic LLC
• Main Med Health
• Main Spine and Rehab LLC
• Main Street RX (Main St. Pharmacy)
• Maincare Infusion LLC
• Camillia Malhis
• Sudha Malhotra, PT
• Anem Sajid Malik, MD

• Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.