Organization Active NPI

La Bleu Optique

  • Optometrist
  • New York, NY
National Provider Identifier
1043769425
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LA BLEU OPTIQUE
Practice address
1156 6TH Ave
New York, NY 10036-2702
Phone
(646) 852-6580
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mr. Igor Abramov
Title
Owner
Phone
(646) 852-6580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X

Addresses

Primary practice location

1156 6TH Ave
New York, NY 10036-2702

Mailing address

1156 6TH Ave
New York, NY 10036-2702
Phone (646) 852-6580

Other names 1

  • La Bleu Doing business as

National Provider Directory

National Provider Directory

Locations

1156 6th Ave
New York, NY 10036
Phone (312) 776-2410

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1043769425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362702",
            "telephone_number": "646-852-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362702",
            "telephone_number": "646-852-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BLEU OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-852-6580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Bleu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.