Organization Active NPI

Ridgeboro Opticians

  • Optician
  • Brooklyn, NY
National Provider Identifier
1790943462
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005006-1 Issued in NY
Legal business name
RIDGEBORO OPTICIANS
Practice address
8009 5TH Ave
Brooklyn, NY 11209-4003
Phone
(718) 748-0513
Fax
(718) 748-0822
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Joseph Bernard Sollecito
Title
President/Owner
Phone
(718) 748-0513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 005006-1 NY Primary

Addresses

Primary practice location

8009 5TH Ave
Brooklyn, NY 11209-4003

Mailing address

8009 5TH Ave
Brooklyn, NY 11209-4003
Phone (718) 748-0513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1790943462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094003",
            "telephone_number": "718-748-0513",
            "fax_number": "718-748-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094003",
            "telephone_number": "718-748-0513",
            "fax_number": "718-748-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEBORO OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "SOLLECITO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-748-0513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.