Organization Active NPI

LC Optical

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1982977401
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TUV0058841 Issued in NY
Legal business name
LC OPTICAL
Practice address
420 Fulton St
Brooklyn, NY 11201-5214
Phone
(718) 802-7674
Fax
(718) 802-7591
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Dr. Lucy E Cederholm, ODNPI 1437185873
Title
Owner
Phone
(718) 802-7674

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
Durable Medical Equipment & Medical Supplies 332B00000X TUV0058841 NY Primary

Addresses

Primary practice location

420 Fulton St
Brooklyn, NY 11201-5214

Mailing address

420 Fulton St
Brooklyn, NY 11201-5214
Phone (718) 802-7674

Other names 1

  • Macy's Vision Express Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1982977401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015214",
            "telephone_number": "718-802-7674",
            "fax_number": "718-802-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015214",
            "telephone_number": "718-802-7674",
            "fax_number": "718-802-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "CEDERHOLM",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-802-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "TUV0058841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macy's Vision Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.