Campos Optical, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C008701-1 Issued in NY

Legal business name

CAMPOS OPTICAL, INC.

Practice address

1925 Brentwood Rd
Inside Compare Store
Brentwood, NY 11717-4624

Phone

(631) 873-4230

Fax

(631) 873-4229

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Pablo A Campos, AAS

Title

Optician / President

Phone

(631) 944-2442

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1932356920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 BRENTWOOD RD",
            "address_2": "INSIDE COMPARE STORE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174624",
            "telephone_number": "631-873-4230",
            "fax_number": "631-873-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 BRENTWOOD RD",
            "address_2": "INSIDE COMPARE STORE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174624",
            "telephone_number": "631-873-4230",
            "fax_number": "631-873-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN / PRESIDENT",
        "authorized_official_telephone_number": "631-944-2442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AAS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT002524-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C008701-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Caceres Germosen
• Mia Calabro, MS, OTR/L
• Lindsey Calderone, LMSW
• Francene A. Campbell, LCSW
• Ronald Campbell, RN
• Angelina Melissa Candelario
• Consuelo Norwood Cannon, R.N.
• Siegfreid Capistrano, DPT
• Antonio Caravello
• Olivia Cardone

• Optician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.