Organization Active NPI

Optics by MDB Inc

  • Optometrist
  • Rye, NY
National Provider Identifier
1891035069
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005933-1 Issued in NY
Legal business name
OPTICS BY MDB INC
Doing business as
Trapp Opticians
Practice address
14 Purchase St
Rye, NY 10580-3003
Phone
(914) 967-5565
Fax
(914) 967-5814
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Gayle Pollak Harris, OPTOMETREIST
Title
Doctor
Phone
(914) 967-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005933-1 NY Primary

Addresses

Primary practice location

14 Purchase St
Rye, NY 10580-3003

Mailing address

14 Purchase St
Rye, NY 10580-3003
Phone (914) 967-5565

Other identifiers 1

IdentifierTypeStateIssuer
1508005893OtherNYOPTOMETRISTS

Other names 1

  • Trapp Opticians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118000735 NY Part B Supplier - Clinic/Group Practice 4082849781 Receives reassigned benefits from 1 practitioner
Practice locations: Rye, NY

National Provider Directory

National Provider Directory

Locations

14 Purchase St
Rye, NY 10580
Phone (914) 967-5565

Practitioners & affiliated clinicians

Practitioners 2

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": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1891035069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803003",
            "telephone_number": "914-967-5565",
            "fax_number": "914-967-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803003",
            "telephone_number": "914-967-5565",
            "fax_number": "914-967-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS BY MDB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "POLLAK HARRIS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-967-5565",
        "authorized_official_credential": "OPTOMETREIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005933-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRISTS",
            "identifier": "1508005893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trapp Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.