East 78TH Optics Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

007177 Issued in NY

Legal business name

EAST 78TH OPTICS CORP

Practice address

1369 3Rd Ave
New York, NY 10075-0803

Phone

(212) 988-8505

NPI assigned

Mar 10, 2008

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Viktoria Klotsman

Title

Manager

Phone

(212) 988-8505

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sheila Santos, O.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1750619425
  NPD (past)
• Irina Shiyan, O.D.

  • Optometrist
  • New York, NY
  • NPI 1972758449
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1982874541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750803",
            "telephone_number": "212-988-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750803",
            "telephone_number": "212-988-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 78TH OPTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "KLOTSMAN",
        "authorized_official_first_name": "VIKTORIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-988-8505"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East 68TH Street Gastroenterological Ambulatory Endoscopy, P.C.
• East 70TH Street Medical Practice, P.C.
• East 72ND Street Orthopaedic Surgery Specialists P.C.
• East 75TH Street Medical, P.C.
• East 78 Street Medical Services PC
• East Coast Dental Group,LLP
• East Coast Health Medical Services PC
• East Coast Medical Care PC
• East Coast Orthotic & Prosthetic Corp.
• East Coast Orthotic & Prosthetic Corp.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.