NPIMap

Organization Active NPI

Hollis Vision Center

  • Optometrist
  • Queens Village, NY
National Provider Identifier
1083711501
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006379 Issued in NY
Legal business name
HOLLIS VISION CENTER
Practice address
8787 Francis Lewis Blvd
Queens Village, NY 11427-2867
Phone
(718) 465-4999
Fax
(718) 217-6101
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Ms. Stacey J Hanai, OPTICIAN
Title
Owner
Phone
(718) 465-4999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 006379 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X C005878-1 NY
Eyewear Supplier 332H00000X C005878-1 NY

Addresses

Primary practice location

8787 Francis Lewis Blvd
Queens Village, NY 11427-2867

Mailing address

8787 Francis Lewis Blvd
Queens Village, NY 11427-2867
Phone (718) 465-4999

Other identifiers 1

IdentifierTypeStateIssuer
01799119MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1083711501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272867",
            "telephone_number": "718-465-4999",
            "fax_number": "718-217-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 FRANCIS LEWIS BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272867",
            "telephone_number": "718-465-4999",
            "fax_number": "718-217-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HANAI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-465-4999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006379",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C005878-1",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "C005878-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799119",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.