DESIGNER OPTICAL CENTER (NPI# 1114453388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114453388 |
Entity Type | Organization |
Organization Name | DESIGNER OPTICAL CENTER |
Practice Address |
8028 Cooper Ave. Suite #6-106 Glendale NY 11378 |
Practice Telephone | 7187389888 |
Mailing Telephone | 7187389888 |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |
Authorized Official Name | MR. SOLOMON MATATOV (PRESIDENT) |
Authorized Official Telephone | 9177217324 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
0073681 | NY | Eye and Vision Services Providers |
Street Address |
8028 COOPER AVE. SUITE #6-106 |
City | GLENDALE |
State | NY |
Zip Code | 11378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437797891 | Damon V Tarantola | Specialist | 65-29 Grand Ave, Maspeth, NY 11378 | 2019-12-17 |
1932600525 | Jenna Krauter | Art Therapist | 70-02 54th Ave, Maspeth, NY 11378 | 2018-02-28 |
1588162218 | National Med Group, Inc | Durable Medical Equipment & Medical Supplies | 6600 Long Island Expw, Suite # 204, Maspeth, NY 11378 | 2018-01-29 |
1467992552 | Almaz Botros | Early Intervention Provider Agency | 60-47 55 Street, 2r, Maspeth, NY 11378 | 2017-03-08 |
1659816049 | Brynn Faith Dacher | Speech-Language Pathologist | 58-74 57th Street, Walter Reed School-p009q, Maspeth, NY 11378 | 2016-12-21 |
1164896734 | Point of Care | Home Health | 6047 59th Dr, Maspeth, NY 11378 | 2015-11-19 |
1568831840 | Healthworks Consulting | Home Health | 6047 59th Drive, Maspeth, NY 11378 | 2015-09-17 |
1083081301 | Charles E Ogle | Licensed Practical Nurse | 59-22 57th Road, Maspeth, NY 11378 | 2015-08-24 |
1992199483 | Tracey Barretto | Occupational Therapist | 52 60 71st Street, Maspeth, NY 11378 | 2015-03-24 |
1659774107 | Prohealth Care Associates, LLP | Durable Medical Equipment & Medical Supplies | 59-01 69th Street, Maspeth, NY 11378 | 2014-09-29 |
Find all providers in zip 11378 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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Find all providers in GLENDALE |
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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.