MIDCREST OPTICAL CORPORATION (NPI# 1982805750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982805750 |
| Entity Type | Organization |
| Organization Name | MIDCREST OPTICAL CORPORATION |
| Other Organization Name | CRESTON OPTICAL |
| Practice Address |
897 8th Ave New York NY 10019-5154 |
| Practice Telephone | 2125825926 |
| Mailing Telephone | 2125825926 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | MR. DOUGLAS BERGER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2125825926 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
VUT002933-1 | NY | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
VUT002933-1 | NY | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
VUT002933-1 | NY | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
VUT002933-1 | NY | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
5104-1 | NY | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
005104-1 | NY | Eye and Vision Services Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | C005104-1 | NY | Suppliers |
| Y | 152W00000X | Optometrist | VUT002933- | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00328267 | 05 |
| Other Name | Type Code |
|---|---|
| Creston Optical | Doing Business As Name - Organization |
| Street Address |
897 8TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1437767167 | Irene Byun | Optometrist | 183 Mott St Apt 5c, New York, NY 10012-4597 | 2020-07-20 |
| 1841814043 | Zhongyue Hu | Optometrist | 33 W 42nd St Rm 1128, New York, NY 10036-8005 | 2020-06-03 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1609429414 | Satija Vision Care Optometry, P.C. | Optometrist | 404 E 117th St Fl 1, New York, NY 10035-5020 | 2019-07-21 |
| 1053973826 | Tara M. Mahvelati | Optometrist | 33 W 42nd St - Suny College of Optometry, New York, NY 10036-8005 | 2019-07-02 |
| 1003476870 | Matthew C Burke | Optometrist | 110 E 40th St Fl 6, New York, NY 10016-1801 | 2019-06-14 |
| 1982263265 | Mina Chen | Optometrist | 345 W 58th St Apt 2b, New York, NY 10019-1130 | 2019-06-10 |
| 1679031413 | West Side Eye Specs LLC | Optometrist | 2165 Broadway, New York, NY 10024-6603 | 2019-03-12 |
| Find all providers in NEW YORK | ||||
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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.