Organization Active NPI

Vision Boutique Inc

  • Optician
  • Brooklyn, NY
National Provider Identifier
1003244591
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007361 Issued in NY
Legal business name
VISION BOUTIQUE INC
Practice address
8503 20TH Ave
Brooklyn, NY 11214-3201
Phone
(718) 513-0999
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margaryta Sokolova
Title
Vice-President
Phone
(718) 513-0999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV004950 NY
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 007361 NY Primary

Addresses

Primary practice location

8503 20TH Ave
Brooklyn, NY 11214-3201

Mailing address

8503 20TH Ave
Brooklyn, NY 11214-3201
Phone (718) 513-0999

National Provider Directory

National Provider Directory

Locations

2115 Surf Ave
Brooklyn, NY 11224
Phone (718) 266-6111

8503 20th Ave
Brooklyn, NY 11214
Phone (718) 513-0999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1003244591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143201",
            "telephone_number": "718-513-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143201",
            "telephone_number": "718-513-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "SOKOLOVA",
        "authorized_official_first_name": "MARGARYTA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-513-0999"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004950",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.