Organization Active NPI

Kings Highway Optical Corp.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1083850341
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0032361 Issued in NY
Legal business name
KINGS HIGHWAY OPTICAL CORP.
Practice address
1302 Kings Hwy
Brooklyn, NY 11229-1960
Phone
(718) 627-8900
Fax
(718) 376-4272
NPI assigned
Dec 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Elaina Zavilensky
Title
President
Phone
(718) 627-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV0032361 NY Primary
Eyewear Supplier 332H00000X TUV0032361 NY

Addresses

Primary practice location

1302 Kings Hwy
Brooklyn, NY 11229-1960

Mailing address

1302 Kings Hwy
Brooklyn, NY 11229-1960
Phone (718) 627-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1083850341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291960",
            "telephone_number": "718-627-8900",
            "fax_number": "718-376-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291960",
            "telephone_number": "718-627-8900",
            "fax_number": "718-376-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HIGHWAY OPTICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "ZAVILENSKY",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-627-8900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0032361",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV0032361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.