Davidoff Optical Center Corp.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6154-1 Issued in NY

Legal business name

DAVIDOFF OPTICAL CENTER CORP.

Practice address

9309 63Rd Dr
Rego Park, NY 11374-2924

Phone

(718) 275-0955

Fax

(718) 275-3725

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Davidov, OPTICIAN

Title

Vice President

Phone

(718) 275-0955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon Retkinski

  • Optometrist
  • Rego Park, NY
  • NPI 1144301425
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1871761478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742924",
            "telephone_number": "718-275-0955",
            "fax_number": "718-275-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742924",
            "telephone_number": "718-275-0955",
            "fax_number": "718-275-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDOFF OPTICAL CENTER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-275-0955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6154-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael Daubs, M.D.
• David Katz DPM PC
• David Mahgerefteh
• David Park Acupuncture PC
• David Shusterman, M.D., P.C.
• Davidov Psychiatric Care,P.C.
• Jacob Davidov, LICENSED OPTICIAN
• Katerina Davidov, SLP
• Ludmila Davidov
• Luiza Davidova

• Optician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.