Sunny Vision Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUNNY VISION OPTOMETRY PC

Practice address

4504 46TH St
Sunnyside, NY 11104-1702

Phone

(718) 784-2580

Fax

(718) 784-2524

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Boris Kapelnik, ODNPI 1013963057

Title

Owner

Phone

(847) 404-3764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Boris Michael Kapelnik, O.D.

  • Optometrist
  • Forest Hills, NY
  • NPI 1013963057
  Medicare reassignment Care Compare group NPD Authorized official
• Ahmed Mustafa Ilahi, OD

  • Optometrist
  • Sunnyside, NY
  • NPI 1588410856
  Medicare reassignment Care Compare group NPD
• Alice Jue Jue Chen, OD

  • Optometrist
  • Sunnyside, NY
  • NPI 1487315297
  Medicare reassignment NPD
• Anthony Martinez, OD

  • Optometrist
  • Brentwood, NY
  • NPI 1073164836
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1003458415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 46TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041702",
            "telephone_number": "718-784-2580",
            "fax_number": "718-784-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 46TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041702",
            "telephone_number": "718-784-2580",
            "fax_number": "718-784-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY VISION OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "KAPELNIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-404-3764",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunnyside Dental, PC
• Sunnyside Medical Office PC
• Sunnyside Medical PC

• Optometrist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.