Active NPI
Odyssey Optics LTD
Doing business as odyssey optical inc
- Optometrist
- Astoria, NY
National Provider Identifier
1962594200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005798-1
- Legal business name
- ODYSSEY OPTICS LTD
- Doing business as
- odyssey optical inc
- Practice address
- 2238 31St St
Astoria, NY 11105-2714 - Phone
- (718) 278-3600
- Fax
- (718) 278-3865
- NPI assigned
- Sep 28, 2006
- 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
- Dr. Hope Patricia Muller-McGovern, O.D
- Title
- President
- Phone
- (718) 278-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005798-1 | NY | Primary |
Addresses
Primary practice location
2238 31St St
Astoria, NY 11105-2714
Mailing address
2238 31St St
Astoria, NY 11105-2714
Phone (718) 278-3600
Other names 1
- odyssey optical inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2238 31st St
Astoria, NY 11105
Phone (718) 278-3600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Astoria, NY
- NPI 1245291814
-
- Optometrist
- Astoria, NY
- NPI 1679543003
-
- Optometrist
- Astoria, NY
- NPI 1982665527
-
- Optometrist
- Litchfield, CT
- NPI 1053372607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1962594200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052714",
"telephone_number": "718-278-3600",
"fax_number": "718-278-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052714",
"telephone_number": "718-278-3600",
"fax_number": "718-278-3865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY OPTICS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "MULLER-MCGOVERN",
"authorized_official_first_name": "HOPE",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-278-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005798-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "odyssey optical inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.