Vision Center of Medford

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

VISION CENTER OF MEDFORD

Doing business as

vision world of medford

Practice address

700-20 Patchogue Yapank Rd
Vision Center of Medford D/B/a Vision World of Medford
Medford, NY 11763

Phone

(631) 775-6907

Fax

(631) 775-9609

NPI assigned

Apr 21, 2014

Last updated

Jul 21, 2022By 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

Mr. Joseph Graffeo, OPTICIAN

Title

President

Phone

(631) 775-9607

Specialties & licenses 1

Addresses

Other names 1

• vision world of medford Doing business as

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942620737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 SHADYBROOK LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954602",
            "telephone_number": "631-807-1758",
            "fax_number": "631-775-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700-20 PATCHOGUE YAPANK RD",
            "address_2": "VISION CENTER OF MEDFORD D/B/A VISION WORLD OF MEDFORD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "11763",
            "telephone_number": "631-775-6907",
            "fax_number": "631-775-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF MEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAFFEO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-775-9607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vision world of medford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Medford, NY
• Providers in Medford, 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 Jul 21, 2022; 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.