MJD Optical Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MJD OPTICAL CORP

Practice address

1053 Route 58 Roanoke Ave
Riverhead, NY 11901

Phone

(631) 727-7777

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By 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

Ross Devore

Title

Owner

Phone

(631) 727-7777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael Anthony Algieri

  • Optometrist
  • Riverhead, NY
  • NPI 1770784423
  NPD (past)
• Dean Michael Miller, OD

  • Optometrist
  • Riverhead, NY
  • NPI 1760463582
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1922569136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 ROUTE 58 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 ROUTE 58 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJD OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-727-7777"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Marie Miranda, PH.D.
• Farhaj Mirza, D.M.D.
• Mitchell S. Meyerson, MD, PC
• Lynn D Mitchell, NP
• Gabrielle Mizrahi, PHYSICIAN ASSISTANT
• Philip Modayil, M.D
• Eloise L Mogel, RDH
• Jessica Mojica
• Laura Jeanne Molden, LCSW
• Michelle Molina

• Optometrist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.