Advantage Optix, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

007987 Issued in NY

Legal business name

ADVANTAGE OPTIX, INC.

Practice address

1445 Hempstead Tpke
Pearle Vision
Elmont, NY 11003-2404

Phone

(516) 616-1771

Fax

(516) 616-0473

NPI assigned

Mar 1, 2007

Last updated

May 4, 2012By 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. Alla Slootsky

Title

President

Phone

(516) 616-1771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1932237823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 HEMPSTEAD TPKE",
            "address_2": "PEARLE VISION",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032404",
            "telephone_number": "516-616-1771",
            "fax_number": "516-616-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HEMPSTEAD TPKE",
            "address_2": "PEARLE VISION",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032404",
            "telephone_number": "516-616-1771",
            "fax_number": "516-616-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE OPTIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SLOOTSKY",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-616-1771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "007987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "109240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.