Opt2Go Outlet Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

00-8841 Issued in NY

Legal business name

OPT2GO OUTLET INC

Practice address

219 Canal St FL 3
New York, NY 10013-4114

Phone

(646) 476-3021

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By 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

Ms. Michelle Q MiuNPI 1720468176

Title

Owner

Phone

(917) 653-8836

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Michelle Q Miu

  • Ophthalmic Technician/Technologist
  • New York, NY
  • NPI 1720468176
  NPD (past) Authorized official

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1912389636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CANAL ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CANAL ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134114",
            "telephone_number": "646-476-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPT2GO OUTLET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MIU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-653-8836",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "00-8841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I AM APPLYING FOR MEDICAID, SO I DON'T KNOW THE ID NUMBER UNTIL I GET A NPI.",
            "identifier": "00000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Farrell Oppenheimer, PSY.D.
• Sheldon Barry Opperman, MD
• Adelaide Oppong-Dwamena, MD
• Opr Eyewear Inc.
• Yasmine Oprea, MD
• Opti-King,LLC.
• Opti-Tech LLC
• Optic Shades
• Optic Shades 2ND Ave Inc
• Optical Academy

• Point of Service in New York, NY
• Providers in New York, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.