NPIMap

Organization Active NPI

Mt. Sinai Optical

  • Optometrist
  • Mount Sinai, NY
National Provider Identifier
1851467955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005594-1 Issued in NY
Legal business name
MT. SINAI OPTICAL
Practice address
5507 Nesconset Hwy
Suite 24
Mount Sinai, NY 11766-2031
Phone
(631) 474-1616
Fax
(631) 474-2092
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Pamela J. Krieger, LDONPI 1992886287
Title
President
Phone
(631) 474-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005594-1 NY Primary

Addresses

Primary practice location

5507 Nesconset Hwy
Suite 24
Mount Sinai, NY 11766-2031

Mailing address

5507 Nesconset Hwy
Suite 24
Mount Sinai, NY 11766-2031
Phone (631) 474-1616

National Provider Directory

National Provider Directory

Locations

5507 Nesconset Hwy
Ste 24
Mount Sinai, NY 11766
Phone (631) 474-1616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851467955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 NESCONSET HWY",
            "address_2": "SUITE 24",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662031",
            "telephone_number": "631-474-1616",
            "fax_number": "631-474-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 NESCONSET HWY",
            "address_2": "SUITE 24",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662031",
            "telephone_number": "631-474-1616",
            "fax_number": "631-474-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SINAI OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-474-1616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, 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.