NPIMap

Organization Active NPI

Eyeglass Service Industries

  • Optician
  • Medford, NY
National Provider Identifier
1811971203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005020-1 Issued in NY
Legal business name
EYEGLASS SERVICE INDUSTRIES
Practice address
700 Route 101
20
Medford, NY 11763-2206
Phone
(631) 924-5188
Fax
(631) 205-1034
NPI assigned
Nov 30, 2005
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
Dr. Bruce Topol, O.D.
Title
Owner
Phone
(516) 599-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 005020-1 NY Primary

Addresses

Primary practice location

700 Route 101
20
Medford, NY 11763-2206

Mailing address

700 Route 101
20
Medford, NY 11763-2206
Phone (631) 924-5188

Other names 1

  • Vision World Other name

National Provider Directory

National Provider Directory
Tax ID family
Eyeglass Service Industries3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811971203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ROUTE 101",
            "address_2": "20",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632206",
            "telephone_number": "631-924-5188",
            "fax_number": "631-205-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROUTE 101",
            "address_2": "20",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632206",
            "telephone_number": "631-924-5188",
            "fax_number": "631-205-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS SERVICE INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOPOL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-599-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005020-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision World",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, 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.