Stebi Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4296 Issued in NY

Legal business name

STEBI OPTICAL INC.

Doing business as

Great Neck Opticians

Practice address

146 Middle Neck Rd
Great Neck, NY 11021-1246

Phone

(516) 466-3874

Fax

(516) 466-1346

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven Derkatch

Title

President/Optician

Phone

(516) 466-3874

Specialties & licenses 2

Addresses

Other names 1

• Great Neck Opticians Doing business as

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1861581704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211246",
            "telephone_number": "516-466-3874",
            "fax_number": "516-466-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211246",
            "telephone_number": "516-466-3874",
            "fax_number": "516-466-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEBI OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "DERKATCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "516-466-3874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004987",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Neck Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Squillace
• Lauren F Stack, PH.D.
• Stand-Up MRI of East Elmhurst, P.C. (Stand-Up MRI of Great Neck)
• Rebecca Stark
• Kathryn R Stauder, AGACNP-BC
• Richard Paul Stechel, M.D.
• Debbie Steger-Cohen, R.N.
• Adam B Stein, M.D.
• Arielle Stein, SLP
• Ian Abraham Stein, MD

• Optician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.