Organization Active NPI

Park Optics LLC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1902236292
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007306 Issued in NY
Legal business name
PARK OPTICS LLC
Practice address
337 5TH Ave
Brooklyn, NY 11215-2808
Phone
(718) 788-8834
Fax
(718) 788-8835
NPI assigned
Nov 22, 2013
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Diana Ma, OD
Title
Optometrist
Phone
(917) 721-6751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007382 NY
Optometrist 152W00000X TUV007306 NY Primary

Addresses

Primary practice location

337 5TH Ave
Brooklyn, NY 11215-2808

Mailing address

337 5TH Ave
Brooklyn, NY 11215-2808
Phone (718) 788-8834

National Provider Directory

National Provider Directory

Locations

337 5th Ave
Brooklyn, NY 11215
Phone (718) 788-8834

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1902236292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152808",
            "telephone_number": "718-788-8834",
            "fax_number": "718-788-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152808",
            "telephone_number": "718-788-8834",
            "fax_number": "718-788-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-721-6751",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007382",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.