Third Ave Optical Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002752 Issued in NY

Legal business name

THIRD AVE OPTICAL CENTER

Practice address

1966 3Rd Ave
New York, NY 10029-3602

Phone

(212) 534-1020

Fax

(212) 722-7589

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin O Mark, ODNPI 1609874221

Title

President

Phone

(212) 534-1020

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.

• Martin O Mark, OD

  • Optometrist
  • New York, NY
  • NPI 1609874221
  NPD (past) Authorized official
• Milton Delerme, MD

  • Ophthalmology Physician
  • Mount Vernon, NY
  • NPI 1760578272
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1952492456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293602",
            "telephone_number": "212-534-1020",
            "fax_number": "212-722-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293602",
            "telephone_number": "212-534-1020",
            "fax_number": "212-722-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD AVE OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-534-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thinkneedles Acupuncture ,P.C.
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• Marisa Thio, L.AC.
• Sengaroun Thipphavong, M.D.
• Third Ave Apothecary Inc
• Third Ave Pediatric Care P.C.
• Third Avenue Drug Corp
• Third Avenue Gastroenterology, P.C.
• Third Avenue Lerman Pharmaceutics Inc
• Third Avenue Pharmacy & Surgical Inc.

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

• 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.