Midwood Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDWOOD OPTICAL LLC

Practice address

1811 Avenue M
Brooklyn, NY 11230-5308

Phone

(718) 684-6905

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Jonathan Fabian

Title

Owner

Phone

(718) 764-3271

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1790328128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305308",
            "telephone_number": "718-684-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305308",
            "telephone_number": "718-684-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-764-3271"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwood Medical Care, P.C.
• Midwood Medical P.C.
• Midwood Mobile Diagnostics, Inc.
• Midwood Nephrology Care PLLC
• Midwood Obstetrics and Gynecology, PLLC
• Midwood Orthodontics, PLLC
• Midwood Orthomed Supply, in
• Midwood Physical Therapy of Brooklyn, PC
• Miel Pharmacy Corp
• Frank Miele, PHARMACIST

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.