Organization Active NPI

Olivos Optometry PC

  • Optometrist
  • Richmond Hill, NY
National Provider Identifier
1790309623
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OLIVOS OPTOMETRY PC
Practice address
11615 Jamaica Ave
Richmond Hill, NY 11418-2433
Phone
(718) 847-9898
Fax
(718) 847-9345
NPI assigned
Jun 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Dr. Dylan Joseph Olivos, ODNPI 1417268814
Title
Optometrist
Phone
(718) 847-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11615 Jamaica Ave
Richmond Hill, NY 11418-2433

Mailing address

11615 Jamaica Ave
Richmond Hill, NY 11418-2433
Phone (718) 847-9898

National Provider Directory

National Provider Directory

Locations

11615 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 847-9898

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1790309623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182433",
            "telephone_number": "718-847-9898",
            "fax_number": "718-847-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182433",
            "telephone_number": "718-847-9898",
            "fax_number": "718-847-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVOS OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "OLIVOS",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-847-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.