Eyeglass Liquidators Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T004326-1 Issued in NY

Legal business name

EYEGLASS LIQUIDATORS INC.

Doing business as

mirage optica

Practice address

8113 Lefferts Blvd
Kew Gardens, NY 11415-1727

Phone

(718) 849-0847

Fax

(718) 849-0864

NPI assigned

Oct 23, 2006

Last updated

May 20, 2013By 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

Mr. Niki Schebovitz

Title

President

Phone

(718) 849-0847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• mirage optica Doing business as

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.

• Ellen F. Silverman, OD

  • Optometrist
  • Flushing, NY
  • NPI 1063686988
  NPD (past)
• Bahur Yacobov, OPTICIAN

  • Optician
  • Kew Gardens, NY
  • NPI 1629337167
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1053494179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS LIQUIDATORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHEBOVITZ",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-849-0847",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004326-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01764378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mirage optica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene Espada, RN
• Jed Edison Mance Evangelista, PT
• Vea Eunice Gestiada Evangelista, PT
• Eye Lab Optician PC
• Eyedeal Optometry, PC
• Jamie Lois Lorenzo Fabros
• Kayrene Farmer
• Natella Fazylov, RPH
• Evelyn Lucy Fazylova, PHARMD
• Carlos A Fernandez

• Optometrist in Kew Gardens, NY
• Providers in Kew Gardens, 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 20, 2013; 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.