Central Nassau Optometric Consultant P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005281-1 Issued in NY

Legal business name

CENTRAL NASSAU OPTOMETRIC CONSULTANT P.C.

Practice address

112 Fulton Ave
B
Hempstead, NY 11550-3752

Phone

(516) 481-2050

Fax

(516) 307-3305

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Ira Gary Goldberg, O.D.NPI 1659495737

Title

President

Phone

(516) 481-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Ira Gary Goldberg, O.D.

  • Optometrist
  • Hempstead, NY
  • NPI 1659495737
  Medicare reassignment NPD Authorized official
• Juana F Rodriguez, OPTICIAN

  • Optician
  • Hempstead, NY
  • NPI 1619092442
  NPD (past)

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1972747277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FULTON AVE",
            "address_2": "B",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503752",
            "telephone_number": "516-481-2050",
            "fax_number": "516-307-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FULTON AVE",
            "address_2": "B",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503752",
            "telephone_number": "516-481-2050",
            "fax_number": "516-307-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NASSAU OPTOMETRIC CONSULTANT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-481-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005281-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian E Castillo Diaz
• Nicole Marie Castillo, DPM
• Grace Catala, MS, ATC
• Jeannine Catalano, LCSW
• Catherine L Ferrara DO PC
• Stephanie Cerniglia, ATC
• Alexander S Chadaev
• Adam P Chaiken, LCSW-R
• Renee Y Chan, PA
• Wendy Chan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.

Verify at the official NPI Registry.