MR. HOWARD RANDOLPH ELLISON II (NPI# 1023325107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023325107 |
Entity Type | Individual |
Full Name | MR. HOWARD RANDOLPH ELLISON II |
Credential | OPTICIAN |
Practice Address |
132 E Fordham Rd Bronx NY 10468-5408 |
Practice Telephone | 7185611600 |
Practice Fax Number | 7185611611 |
Mailing Telephone | 7185611600 |
Mailing Fax Number | 7185611611 |
Enumeration Date | 2010-09-09 |
Last Update Date | 2010-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
008765 | NY | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962410464 | Howard Steven Ellison | Internal Medicine | 1010 East Freeway Drive, Conyers, GA 30094 | 2006-08-03 |
Street Address |
132 E FORDHAM RD |
City | BRONX |
State | NY |
Zip Code | 10468-5408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
Find all providers in zip 10468 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750879169 | National Vision, Inc. | Technician/Technologist | 90 W 225th St, Bronx, NY 10463-7002 | 2018-05-01 |
1083025449 | Discount Optical Outlet Inc | Technician/Technologist | 3509 White Plains Rd, Bronx, NY 10467-5705 | 2014-05-19 |
1811311061 | Tremont Opticians | Technician/Technologist | 864 E Tremont Ave, Bronx, NY 10460-4201 | 2014-02-08 |
1972734150 | Usv Optical Inc. | Technician/Technologist | 610 Exterior Street, Bronx, NY 10451 | 2009-08-05 |
1750563391 | Delvia I Moquete | Technician/Technologist | 54 West Burnside Ave, Bronx, NY 10453-4018 | 2007-12-05 |
1083808778 | Manuel Berrios | Technician/Technologist | 4555 3rd Ave, Bronx, NY 10458-7805 | 2007-09-05 |
1114048709 | Galina Orloff | Technician/Technologist | 3120 Bainbridge Ave, Bronx, NY 10467-3958 | 2007-04-02 |
1417092313 | My Optician Nyc Corp | Technician/Technologist | 5227 Broadway, Bronx, NY 10463-7636 | 2007-02-20 |
1801964770 | Guillermo Ysmael Reyes | Technician/Technologist | 54 W Burnside Ave, Bronx, NY 10453-4018 | 2006-11-30 |
1568559771 | Lydig Optical Lab | Technician/Technologist | 737 Lydig Ave, Bronx, NY 10462-2103 | 2006-10-07 |
Find all providers in BRONX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.