Organization Active NPI

Sound Vision Facility and Home Care LLC

  • Optometrist
  • Laurel, NY
National Provider Identifier
1972968832
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-007157 Issued in NY
Legal business name
SOUND VISION FACILITY AND HOME CARE LLC
Practice address
175 1St St
Laurel, NY 11948-1644
Phone
(631) 727-2858
Fax
(631) 727-2866
NPI assigned
Dec 19, 2015
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. Jeffrey Slaney Williams Jr., O.D.NPI 1396945143
Title
Owner
Phone
(631) 838-2025

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)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-007157 NY Primary

Addresses

Primary practice location

175 1St St
Laurel, NY 11948-1644

Mailing address

1224 Ostrander Ave
Riverhead, NY 11901-2109
Phone (631) 727-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116000884 NY Part B Supplier - Clinic/Group Practice 6002227402 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1972968832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 OSTRANDER AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012109",
            "telephone_number": "631-727-2858",
            "fax_number": "631-727-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 1ST ST",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481644",
            "telephone_number": "631-727-2858",
            "fax_number": "631-727-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND VISION FACILITY AND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-19",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SLANEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-838-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-007157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.