Organization Active NPI

Optical Academy

  • Optometrist
  • New York, NY
National Provider Identifier
1851663918
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006888-1 Issued in NY
Legal business name
OPTICAL ACADEMY
Practice address
115 W 45TH St
Suite 504
New York, NY 10036-4005
Phone
(180) 061-0823
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Abeer Ayoub
Title
Optician
Phone
(718) 607-1068

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV006888-1 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 009212-1 NY

Addresses

Primary practice location

115 W 45TH St
Suite 504
New York, NY 10036-4005

Mailing address

115 W 45TH St
Suite 504
New York, NY 10036-4005
Phone (180) 061-0823

National Provider Directory

National Provider Directory

Locations

115 W 45th St
Ste 504
New York, NY 10036
Phone (800) 530-2730

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1851663918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 45TH ST",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364005",
            "telephone_number": "180-061-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 45TH ST",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364005",
            "telephone_number": "180-061-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "ABEER",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-607-1068"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006888-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009212-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.