Organization Active NPI

Digital Optiks LLC

  • Durable Medical Equipment & Medical Supplies
  • Jamaica, NY
National Provider Identifier
1831594860
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5810 Issued in NY
Legal business name
DIGITAL OPTIKS LLC
Practice address
18116 Hillside Ave
Jamaica, NY 11432-4852
Phone
(718) 297-2997
Fax
(718) 880-9849
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mr. Suresh SanpaulNPI 1336577493
Title
Optician
Phone
(718) 297-2997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Durable Medical Equipment & Medical Supplies 332B00000X 5810 NY Primary

Addresses

Primary practice location

18116 Hillside Ave
Jamaica, NY 11432-4852

Mailing address

9065 180TH St
Jamaica, NY 11432-5612
Phone (718) 297-2997

Other identifiers 1

IdentifierTypeStateIssuer
03978205MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Digital Optiks LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18116 Hillside Ave
Jamaica, NY 11432
Phone (718) 297-2997

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1831594860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 180TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325612",
            "telephone_number": "718-297-2997",
            "fax_number": "718-880-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18116 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324852",
            "telephone_number": "718-297-2997",
            "fax_number": "718-880-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL OPTIKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SANPAUL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-297-2997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "5810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03978205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.