Mineola Vision, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MINEOLA VISION, INC

Practice address

284 Jericho Tpke
Mineola, NY 11501-1609

Phone

(516) 422-2832

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Leon Cai, ODNPI 1659474864

Title

President

Phone

(631) 230-3486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Leon L Cai, O.D.

  • Optometrist
  • Flushing, NY
  • NPI 1659474864
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1083239362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011609",
            "telephone_number": "631-230-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011609",
            "telephone_number": "516-422-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-230-3486",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mineola Medical Laboratory LLC
• Mineola Optical Boutique Inc
• Mineola Pediatrics P.C.
• Mineola Pharmacy Inc.
• Mineola Union Free School District
• Mineola Volunteer Ambulance Corps Incorporated
• Joy Phyllis Minkoff, MS, CCC-SLP
• Veenna Minnal
• Edward Mintz, M.D.
• Laura Ann Minutolo, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.