Organization Active NPI

D & M Optical Inc

  • Optician
  • Brooklyn, NY
National Provider Identifier
1790952257
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007422 Issued in NY
Legal business name
D & M OPTICAL INC
Practice address
332 9TH St
Brooklyn, NY 11215-4058
Phone
(718) 965-2545
Fax
(718) 965-1127
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Mr. Maksim Grinberg
Title
Manager Owner
Phone
(718) 873-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 007422 NY Primary

Addresses

Primary practice location

332 9TH St
Brooklyn, NY 11215-4058

Mailing address

332 9TH St
Brooklyn, NY 11215-4058
Phone (718) 965-2545

Other identifiers 1

IdentifierTypeStateIssuer
02705273MedicaidNY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1790952257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154058",
            "telephone_number": "718-965-2545",
            "fax_number": "718-965-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154058",
            "telephone_number": "718-965-2545",
            "fax_number": "718-965-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & M OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "718-873-3161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02705273",
            "state": "NY"
        }
    ],
    "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 Dec 11, 2009; 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.