Baybridge Optical Visual Eyes Optical Options Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

193400000X Issued in NY

Legal business name

BAYBRIDGE OPTICAL VISUAL EYES OPTICAL OPTIONS INC.

Practice address

20836 Cross Island Pkwy
Bayside, NY 11360-1187

Phone

(718) 224-1833

Fax

(718) 224-1877

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Madelyn Gonzalez

Title

President 9Owner)

Phone

(718) 224-1833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1881020931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20836 CROSS ISLAND PKWY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601187",
            "telephone_number": "718-224-1833",
            "fax_number": "718-224-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20836 CROSS ISLAND PKWY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601187",
            "telephone_number": "718-224-1833",
            "fax_number": "718-224-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBRIDGE OPTICAL VISUAL EYES OPTICAL OPTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "PRESIDENT 9OWNER)",
        "authorized_official_telephone_number": "718-224-1833"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "193400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bayside Acupuncture & Physical Therapy PLLC
• Bayside Acupuncture Wellness PC
• Bayside Chiropractic, LLC

• Optometrist in Bayside, NY
• Providers in Bayside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.