Organization Active NPI

Charles Rubin MD

Doing business as Riverside Optical

  • Optometrist
  • Johnson City, NY
National Provider Identifier
1942455878
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
101191-1 Issued in NY
Legal business name
CHARLES RUBIN MD
Doing business as
Riverside Optical
Practice address
95 Riverside Dr
Johnson City, NY 13790-2720
Phone
(607) 798-7164
Fax
(607) 798-0879
NPI assigned
Nov 19, 2008
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Charles Rubin, MDNPI 1164530853
Title
Ophthalmalogist
Phone
(607) 798-7164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 101191-1 NY Primary

Addresses

Primary practice location

95 Riverside Dr
Johnson City, NY 13790-2720

Mailing address

95 Riverside Dr
Johnson City, NY 13790-2720
Phone (607) 798-7164

Other names 1

  • Riverside Optical Doing business as

National Provider Directory

National Provider Directory

Locations

95 Riverside Dr
Johnson City, NY 13790
Phone (607) 798-0282

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1942455878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902720",
            "telephone_number": "607-798-7164",
            "fax_number": "607-798-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902720",
            "telephone_number": "607-798-7164",
            "fax_number": "607-798-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES RUBIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OPHTHALMALOGIST",
        "authorized_official_telephone_number": "607-798-7164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "101191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.