Advantage Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

VUT005946-1 Issued in NY

Legal business name

ADVANTAGE OPTICAL

Practice address

542 Jerusalem Ave
North Bellmore, NY 11710-1829

Phone

(516) 679-5866

Fax

(516) 679-5869

NPI assigned

Sep 6, 2007

Reactivated

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacquelyn Guida, O.D.NPI 1174603468

Title

Optometrist

Phone

(516) 679-5866

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, and the practitioner matching its NPPES authorized official.

• Jacquelyn Guida, O.D.

  • Optometrist
  • North Bellmore, NY
  • NPI 1174603468
  NPD (past) Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1902091523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101829",
            "telephone_number": "516-679-5866",
            "fax_number": "516-679-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101829",
            "telephone_number": "516-679-5866",
            "fax_number": "516-679-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "deactivation_date": "2020-03-11",
        "reactivation_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-679-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT005946-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02439985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaya Abraham
• Luke Abraham
• Robert A Abramson, DDS
• Audra Marie Abruzzo-Wajda, MA,OTR/L
• Achieve Physical Therapy and Wellness
• After the Call Mental Health Counseling PLLC
• Mehribon Ahadova, FNP
• Monir Uddin Ahamed, RPH
• Naseer N/a Ahmad, B-PHARM
• Erika Aiello

• Eyewear Supplier in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.