Eye Q Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT6255-1 Issued in NY

Legal business name

EYE Q OPTICAL INC.

Practice address

10423 Queens Blvd
Forest Hills, NY 11375-3757

Phone

(718) 275-2500

Fax

(718) 275-9654

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Herminio FernandezNPI 1477704161

Title

Owner

Phone

(718) 275-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Katherine Gut, O.D,

  • Corneal and Contact Management Optometrist
  • Brooklyn, NY
  • NPI 1750667929
  Medicare reassignment NPD
• Herminio Fernandez, OPTICIAN

  • Optician
  • Woodside, NY
  • NPI 1477704161
  NPD Authorized official
• Derek C Lindell, OPTICIAN

  • Optician
  • Forest Hills, NY
  • NPI 1144201500
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1013197433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753757",
            "telephone_number": "718-275-2500",
            "fax_number": "718-275-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753757",
            "telephone_number": "718-275-2500",
            "fax_number": "718-275-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE Q OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HERMINIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT6255-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.