Organization Active NPI

Ultimate Spectacle

  • Eyewear Supplier
  • New York, NY
National Provider Identifier
1902170061
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Mar 12, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.