New York Optical of Manhattan Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002974 Issued in NY

Legal business name

NEW YORK OPTICAL OF MANHATTAN CORPORATION

Practice address

648 W 181St St
New York, NY 10033-3801

Phone

(212) 927-4444

NPI assigned

Aug 25, 2006

Last updated

Jun 25, 2008By 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

Dr. Wayne Tabachnick, OD

Title

President

Phone

(212) 927-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1962510560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VILLAS CIR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473061",
            "telephone_number": "212-927-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333801",
            "telephone_number": "212-927-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OPTICAL OF MANHATTAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TABACHNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-927-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New York Occupational Therapy & Rehabilitation
• New York Occupational Therapy and Rehabilitation
• New York Ocular Prosthetics LLC
• New York Oncology
• New York Ophthalmology Associates, PLLC
• New York Oral & Facial Surgery, L.L.C.
• New York Orthopaedic Hospital Associates, PC
• New York Orthopaedic Hospital Associates, PC
• New York Orthopaedics and Sports Med PC
• New York Orthotic and Prosthetic

• 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 Jun 25, 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.