Active NPI
Ultimate Spectacle
- Eyewear Supplier
- New York, NY
National Provider Identifier
1902170061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- ULTIMATE SPECTACLE
- Practice address
- 789 Lexington Ave
New York, NY 10065-8163 - Phone
- (212) 792-8123
- Fax
- (212) 355-3515
- NPI assigned
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Valentin
- Title
- Credentialing Specialist
- Phone
- (212) 792-8149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
789 Lexington Ave
New York, NY 10065-8163
Mailing address
789 Lexington Ave
New York, NY 10065-8163
Phone (212) 792-8123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1902170061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658163",
"telephone_number": "212-792-8123",
"fax_number": "212-355-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658163",
"telephone_number": "212-792-8123",
"fax_number": "212-355-3515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMATE SPECTACLE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "VALENTIN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "212-792-8149"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.