Jamaica Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008269 Issued in NY

Legal business name

JAMAICA OPTICAL INC.

Practice address

14620 Jamaica Ave
Jamaica, NY 11435-3628

Phone

(718) 291-9191

NPI assigned

Nov 5, 2009

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bangiyev

Title

Owner/Optician

Phone

(347) 419-2575

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M Weiss, OD

  • Optometrist
  • Jamaica, NY
  • NPI 1386605509
  Medicare reassignment NPD
• An Thai Bui, O.D.

  • Optometrist
  • Joint Base Lewis McChord, WA
  • NPI 1699905125
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1033446463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353628",
            "telephone_number": "718-291-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14620 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353628",
            "telephone_number": "718-291-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "347-419-2575"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03191682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamaica Hospital Nursing Home Co Inc (Trump Pavilion)
• Jamaica Medical Care
• Jamaica Medical Care PC
• Jamaica Medical Center Ny PC
• Jamaica Medical Services,P.C.
• Jamaica Pharm RX Inc
• Jamaica Pharmacy Group LLC
• Jamaica Pharmacy Inc.
• Jamaica Physical and Occupational Therapy PLLC
• Jamaica Physical Therapy, P.C.

• Optician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.