Glenridge Optical Warehouse Outlet Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008190 Issued in NY

Legal business name

GLENRIDGE OPTICAL WAREHOUSE OUTLET INC.

Practice address

6041 Myrtle Ave
Ridgewood, NY 11385-5933

Phone

(718) 386-2423

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Rozalina AbramovNPI 1316102627

Title

Owner/Optician

Phone

(718) 386-2423

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.

• Nadezhda Nisimova, O.D.

  • Optometrist
  • Elmhurst, NY
  • NPI 1841546918
  Medicare reassignment NPD
• Rozalina Abramov

  • Optician
  • Ridgewood, NY
  • NPI 1316102627
  NPD Authorized official

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1982830964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855933",
            "telephone_number": "718-386-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855933",
            "telephone_number": "718-386-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENRIDGE OPTICAL WAREHOUSE OUTLET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "ROZALINA",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "718-386-2423"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina E Giannikos
• Paul Damian Giovinco, DPM
• Lora Girgis
• Jowita Gladkowska-Uzieblo
• Glenridge Medical Associates PC
• Global Ap LLC
• Global Provider Services Inc
• Ryan Edgar Gloetzner, MOTR/L
• Michael Goldman, D.D.S.
• Bai Yan Gong, PHARMD

• Optician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.