Organization Active NPI

Bobs Optical Inc.

  • Optician
  • Bay Shore, NY
National Provider Identifier
1801916820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007318 Issued in NY
Legal business name
BOBS OPTICAL INC.
Practice address
178 W Main St
Bay Shore, NY 11706-8318
Phone
(631) 969-4263
Fax
(631) 969-0182
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Harry Foos
Title
Pres. Optician
Phone
(631) 969-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 007318 NY Primary

Addresses

Primary practice location

178 W Main St
Bay Shore, NY 11706-8318

Mailing address

178 W Main St
Bay Shore, NY 11706-8318
Phone (631) 969-4263

Other identifiers 5

IdentifierTypeStateIssuer
157050OtherNYCOLE VISION
140321OtherNYCOLE VISION
914251OtherNYBLOCK VISION
01975328MedicaidNY
117408OtherNYEYEMED

Other names 1

  • classy glasses Doing business as

National Provider Directory

National Provider Directory

Locations

178 W Main St
Bay Shore, NY 11706
Phone (631) 909-4263

Practitioners & affiliated clinicians

Practitioners 1

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": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801916820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068318",
            "telephone_number": "631-969-4263",
            "fax_number": "631-969-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068318",
            "telephone_number": "631-969-4263",
            "fax_number": "631-969-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBS OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRES. OPTICIAN",
        "authorized_official_telephone_number": "631-969-4263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "157050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "140321",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "914251",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975328",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "117408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "classy glasses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.