Pure Vision Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PURE VISION OPTICAL LLC

Practice address

10023 Queens Blvd
Forest Hills, NY 11375-2452

Phone

(917) 670-5116

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Oren Yakubov

Title

Owner

Phone

(917) 670-5116

Specialties & licenses 1

Addresses

Practitioners 3

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

• Bella Davydov, O.D.

  • Optometrist
  • Forest Hills, NY
  • NPI 1093156820
  NPD
• Rokhel Kaziyev, OD

  • Optometrist
  • Corona, NY
  • NPI 1912568536
  NPD
• Julia Poltilov

  • Optometrist
  • Flushing, NY
  • NPI 1295470045
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1033717053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752452",
            "telephone_number": "917-670-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752452",
            "telephone_number": "917-670-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE VISION OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "OREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-670-5116"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L Puertas, MSW
• Angelina Pulatov, M.ED, CCC-SLP
• Pulmonary Associates of Queens PC
• Olivia Anna Pulvirenti
• Pure Eyecare Optometry P.C. (Pure Eyecare)
• Elizabeth Pyon
• Shuqiang Qi
• Meng Qian
• Julie Qiu
• Yaquelin Qiu

• 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 Oct 12, 2020; 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.