NPIMap

Organization Active NPI

Optical Shop of Clifton Park LLC

  • Optician
  • Clifton Park, NY
National Provider Identifier
1851844500
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004953-1 Issued in NY
Legal business name
OPTICAL SHOP OF CLIFTON PARK LLC
Practice address
1783 Route 9
Suite 106
Clifton Park, NY 12065-2409
Phone
(518) 348-2062
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Robert E Brass, MDNPI 1326003682
Title
Member
Phone
(518) 782-7827

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 004953-1 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 005490-1 NY

Addresses

Primary practice location

1783 Route 9
Suite 106
Clifton Park, NY 12065-2409

Mailing address

1783 Route 9
Suite 106
Clifton Park, NY 12065-2409
Phone (518) 348-2062

National Provider Directory

National Provider Directory

Locations

1783 Route 9
Ste 106
Halfmoon, NY 12065
Phone (518) 348-2062

Practitioners & affiliated clinicians

Practitioners 6

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": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1851844500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9",
            "address_2": "SUITE 106",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-348-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9",
            "address_2": "SUITE 106",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-348-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SHOP OF CLIFTON PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "BRASS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-782-7827",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "004953-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005490-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.