Organization Active NPI

Des Optometry, PLLC

  • Optometrist
  • Oceanside, NY
National Provider Identifier
1962710376
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006549 Issued in NY
Legal business name
DES OPTOMETRY, PLLC
Practice address
40 Atlantic Ave
Oceanside, NY 11572-2037
Phone
(516) 255-2020
Fax
(516) 255-1818
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Dr. David Yu, OD
Title
Member
Phone
(516) 255-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006549 NY Primary

Addresses

Primary practice location

40 Atlantic Ave
Oceanside, NY 11572-2037

Mailing address

40 Atlantic Ave
Oceanside, NY 11572-2037
Phone (516) 255-2020

Other names 1

  • Vision Decision Doing business as

National Provider Directory

National Provider Directory

Locations

40 Atlantic Ave
Oceanside, NY 11572
Phone (516) 255-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1962710376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ATLANTIC AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722037",
            "telephone_number": "516-255-2020",
            "fax_number": "516-255-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ATLANTIC AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722037",
            "telephone_number": "516-255-2020",
            "fax_number": "516-255-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-255-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Decision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.