Active NPI
20/20 Ophthalmology Services, PLLC
- Ophthalmology Physician
- Holbrook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- 20/20 OPHTHALMOLOGY SERVICES, PLLC
- Practice address
- 20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616 - Phone
- (646) 448-3390
- NPI assigned
- Dec 19, 2016
- Last updated
- May 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Scott
- Title
- Ceo Manager
- Phone
- (646) 448-3390
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616
Mailing address
20 Peachtree Court, Suite 103H
Holbrook, NY 11741-4616
Phone (646) 448-3390
National Provider Directory
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Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optician
- Rome, GA
- NPI 1699485177
-
- Optometrist
- Oklahoma City, OK
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1952845448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PEACHTREE COURT, SUITE 103H",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "646-448-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PEACHTREE COURT, SUITE 103H",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "646-448-3390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "20/20 OPHTHALMOLOGY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-19",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO MANAGER",
"authorized_official_telephone_number": "646-448-3390"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.