Jac Optical
Jac Optical is a healthcare organization registered as Optometrist in Staten Island, NY, holding Type 2 (organization) NPI 1073675252 since 2006. The authorized official on file is Jeanine Camerlengo, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073675252 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jac Optical |
| Other name | <Unavail> |
| Practice address | 262 ARDEN AVE, Staten Island, NY, 10312 |
| Phone | 7183563249 |
| Enumeration date | 2006-12-14 |
| Last updated in NPPES | 2010-08-27 |
Authorized official
| Name | Jeanine Camerlengo |
|---|---|
| Title | Owner |
| Phone | 7183563249 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623063 | Medicaid | NY | — |
Copy-ready billing details
Provider: Jac Optical NPI: 1073675252 Taxonomy: 152W00000X (Optometrist) Address: 262 ARDEN AVE, Staten Island, NY, 10312
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578966446 | Jeanine Camerlengo | Individual | Optician | Staten Island, NY |
Verify this record
Cross-check NPI 1073675252 against the authoritative CMS record: view Jac Optical on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jac Optical?
Who is the authorized official for Jac Optical?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-08-27.