Organization Active NPI

Lens Lab Express

  • Eyewear Supplier
  • Jamaica, NY
National Provider Identifier
1063603900
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
LENS LAB EXPRESS
Doing business as
Lens Lab Express-CVS
Practice address
163-34 Jamaica Ave
Jamaica, NY 11432-4912
Phone
(718) 526-2332
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mr. Alan Sicherman
Title
Owner
Phone
(718) 224-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

163-34 Jamaica Ave
Jamaica, NY 11432-4912

Mailing address

163-34 Jamaica Ave
Jamaica, NY 11432-4912
Phone (718) 526-2332

Other identifiers 1

IdentifierTypeStateIssuer
01521237MedicaidNY

Other names 1

  • Lens Lab Express-CVS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lens Lab Express2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1063603900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163-34 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324912",
            "telephone_number": "718-526-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163-34 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324912",
            "telephone_number": "718-526-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS LAB EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "SICHERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-224-6778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lens Lab Express-CVS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.