Lens Lab Express of Graham Avenue Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T0029461 Issued in NY

Legal business name

LENS LAB EXPRESS OF GRAHAM AVENUE INC

Practice address

28 Graham Avenue
Brooklyn, NY 11206

Phone

(718) 486-0117

Fax

(718) 486-0120

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Candido Diaz

Title

President

Phone

(718) 486-0120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• General Vision Express Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Max Arthur Paschall-Zimbel, OD

  • Optometrist
  • Bronx, NY
  • NPI 1750994059
  Medicare reassignment NPD
• Sohail Sakkari

  • Optometrist
  • Queens Village, NY
  • NPI 1477106201
  Medicare reassignment NPD
• Shari Erlich, PRESIDENT

  • Optometrist
  • Brooklyn, NY
  • NPI 1174858930
  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1043370620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GRAHAM AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-486-0117",
            "fax_number": "718-486-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRAHAM AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-486-0117",
            "fax_number": "718-486-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS LAB EXPRESS OF GRAHAM AVENUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-486-0120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T0029461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02045590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Vision Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmel Marie Lennon, R.N.
• Yvette Lennon, RPA-C
• Robolge Lenora, MD
• Lens Center Inc
• Lens in Frame Optical
• Lensmasters II, Inc.
• Nicole Lentini, M.A., CCC-SLP
• Galina Lenyk Kolotsi, FNP
• Leo Parnes DO PC
• Brittani Nicole Leo, CCC-SLP

• 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 Dec 22, 2016; 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.