11 Ave Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

11 AVE OPTICAL INC

Practice address

6706 11TH Ave
Brooklyn, NY 11219-5903

Phone

(917) 288-9878

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Wei Guo

Title

Owner

Phone

(919) 288-9878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1043069883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195903",
            "telephone_number": "917-288-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195903",
            "telephone_number": "917-288-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11 AVE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-288-9878"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.