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MIDCREST OPTICAL CORPORATION NPI 1982805750


NPI Information

NPI: 1982805750
Provider Name: MIDCREST OPTICAL CORPORATION

Doing Business As: CRESTON OPTICAL

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
897 8TH AVE
NEW YORK, NY
ZIP 10019
Phone: (212) 582-5926
Get Directions

MIDCREST OPTICAL CORPORATION is an optometrist in New York, NY. The provider is 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. MIDCREST OPTICAL CORPORATION NPI is 1982805750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Creston Optical.

The provider's business location address is:

897 8TH AVE
NEW YORK, NY
ZIP 10019-154
Phone: (212) 582-5926

The provider's authorized official is Douglas Berger .
The authorized official title is Director Of Operations and has the following contact phone number (212) 582-5926.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 10/10/2011.


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 ManagementVUT002933-1NEW YORKNo
2152WP0200XOptometristPediatricsVUT002933-1NEW YORKNo
3152WS0006XOptometristSports VisionVUT002933-1NEW YORKNo
4152WX0102XOptometristOccupational VisionVUT002933-1NEW YORKNo
5156FC0801XTechnician/TechnologistContact Lens Fitter5104-1NEW YORKNo
6156FX1800XTechnician/TechnologistOptician005104-1NEW YORKNo
7332B00000XDurable Medical Equipment & Medical SuppliesC005104-1NEW YORKNo
8152W00000XOptometristVUT002933-1NEW 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
1C5W011MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200328267MEDICAIDNEW 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: 4/28/2024

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