Organization Active NPI

Vision Screening

  • Exclusive Provider Organization
  • Centereach, NY
National Provider Identifier
1821296096
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
VISION SCREENING
Practice address
1919 Middle Country Rd
Centereach, NY 11720-5601
Phone
(631) 467-4515
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Arthur Polan
Title
Pres
Phone
(631) 467-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1919 Middle Country Rd
Centereach, NY 11720-5601

Mailing address

1919 Middle Country Rd
Centereach, NY 11720-5601
Phone (631) 467-4515

National Provider Directory

National Provider Directory

Locations

1919 Middle Country Rd
Centereach, NY 11720
Phone (631) 495-5738

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1821296096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117205601",
            "telephone_number": "631-467-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117205601",
            "telephone_number": "631-467-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SCREENING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "POLAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "631-467-4515"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.