Provider Type Icon

SHADES OF MONTAGUE NPI 1720275175


NPI Information

NPI: 1720275175
Provider Name: SHADES OF MONTAGUE

Doing Business As: HEIGHTS VISION CENTER

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
132 MONTAGUE ST
BROOKLYN, NY
ZIP 11201
Phone: (718) 852-1149
Get Directions

SHADES OF MONTAGUE is a corneal and contact management optometrist in Brooklyn, NY. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. SHADES OF MONTAGUE NPI is 1720275175. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heights Vision Center.

The provider's business location address is:

132 MONTAGUE ST
BROOKLYN, NY
ZIP 11201-521
Phone: (718) 852-1149
Fax: (718) 522-4379

The provider's authorized official is Stuart Addis Friedman .
The authorized official title is President and has the following contact phone number (718) 852-1149.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 2/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management003978NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T81491MEDICARE UPINNEW YORK
2A100060542MEDICARE PINNEW YORK
30560570001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.