Optical Unique LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

OPTICAL UNIQUE LLC

Practice address

45 W Lancaster Ave
Ardmore, PA 19003-1408

Phone

(610) 564-0057

Fax

(610) 649-1343

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Simon Gershovich

Title

Ceogeneral Manager

Phone

(610) 649-1343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1841342516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W LANCASTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031408",
            "telephone_number": "610-265-3880",
            "fax_number": "610-649-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W LANCASTER AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031408",
            "telephone_number": "610-564-0057",
            "fax_number": "610-649-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL UNIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GERSHOVICH",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEOGENERAL MANAGER",
        "authorized_official_telephone_number": "610-649-1343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hammed A Ninalowo, M.D.
• Janine Maria Noss, PHARMD
• Sarah Louise Olsheski, MSW, LCSW
• Mariusz A Olszewski, M.D.
• Michele Ondeck
• Martin P Orimenko, D.C.
• Pace Foot and Ankle Centers PLLC
• John C Pagana, D.M.D
• Crystal D Palko, M.S., R.D., L.D.N.
• Deepal D Pandya, MA

• Non-Pharmacy Dispensing Site in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.