ALAN FRUCHTMAN (NPI# 1063549541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063549541 |
| Entity Type | Individual |
| Full Name | ALAN FRUCHTMAN |
| Credential | OPTICIAN |
| Practice Address |
1803 Victory Blvd Staten Island NY 10314-3515 |
| Practice Telephone | 7184487676 |
| Practice Fax Number | 7184487675 |
| Mailing Telephone | 7184487676 |
| Mailing Fax Number | 7184487675 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4036 | NY | Eye and Vision Services Providers |
| Street Address |
1803 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366882466 | Viktoriya Rudnik | Optometrist | 1803 Victory Blvd, Staten Island, NY 10314-3515 | 2013-07-03 |
| 1619096815 | Staten Eye Land 2 Inc | Technician/Technologist | 1803 Victory Blvd, Staten Island, NY 10314-3515 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1871096768 | National Vision, Inc. | Technician/Technologist | 2590 Hylan Blvd, Staten Island, NY 10306-4366 | 2018-03-16 |
| 1952845299 | Specs for Less of Richmond Ave Inc | Technician/Technologist | 1650 Richmond Ave, Staten Island, NY 10314-1542 | 2016-12-06 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| 1336531995 | Z Optical | Technician/Technologist | 278 New Dorp Ln, Staten Island, NY 10306-3048 | 2015-02-19 |
| 1346638434 | Island Eye Optical Corp. | Technician/Technologist | 1500 Victory Boulevard, Staten Island, NY 10301 | 2014-12-26 |
| 1902219074 | Mikhail Kisselev | Technician/Technologist | 826 Sheldon Ave, Staten Island, NY 10309-2445 | 2014-06-06 |
| 1780019901 | Joseph A Marino | Technician/Technologist | 11 Trent St, Staten Island, NY 10308-3057 | 2013-09-06 |
| 1255616223 | Anthony J Sclapani | Technician/Technologist | 3477 Richmond Rd, Staten Island, NY 10306-1427 | 2011-10-20 |
| 1508003633 | B&v Optical | Technician/Technologist | 98 Saint Johns Ave., Staten Island, NY 10305 | 2009-01-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on ALAN FRUCHTMAN.
| 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.