NPIMap

Organization Active NPI

Eyeglass Depot Optical

  • Eyewear Supplier
  • Farmingdale, NY
National Provider Identifier
1912275397
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYEGLASS DEPOT OPTICAL
Practice address
60 Willow Park Ctr
Farmingdale, NY 11735-1001
Phone
(631) 777-7283
Fax
(631) 777-3329
NPI assigned
Dec 13, 2011
Organization subpart
Yes
Parent organization
DIFFER PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Deena Feldman
Title
Vice President
Phone
(631) 777-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

60 Willow Park Ctr
Farmingdale, NY 11735-1001

Mailing address

60 Willow Park Ctr
Farmingdale, NY 11735-1001
Phone (631) 777-7283

National Provider Directory

National Provider Directory
Part of
Eyeglass Depot Optical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1912275397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WILLOW PARK CTR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117351001",
            "telephone_number": "631-777-7283",
            "fax_number": "631-777-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WILLOW PARK CTR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117351001",
            "telephone_number": "631-777-7283",
            "fax_number": "631-777-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS DEPOT OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIFFER PARTNERS, LLC",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-777-7283"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.