482 Nyc Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

482 NYC OPTICAL LLC

Practice address

482 86TH St
Brooklyn, NY 11209-4708

Phone

(718) 879-8182

Fax

(347) 390-0649

NPI assigned

Jan 29, 2024

Last updated

Jan 20, 2025By 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

Ms. Elena Pak

Title

Manager

Phone

(929) 924-6019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

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.

• Kevin Arriete, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1730984980
  Medicare reassignment Care Compare group NPD
• Romanna Volosyanko

  • Optometrist
  • Brooklyn, NY
  • NPI 1699319459
  Medicare reassignment Care Compare group NPD
• Abuzer Syed Hasan, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1225630791
  Medicare reassignment NPD
• Syeda Safura Hussaini

  • Optometrist
  • Staten Island, NY
  • NPI 1902457112
  Medicare reassignment NPD
• Albert Peralta, O.D

  • Optometrist
  • East Elmhurst, NY
  • NPI 1598201410
  Medicare reassignment NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1093577710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094708",
            "telephone_number": "718-879-8182",
            "fax_number": "347-390-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094708",
            "telephone_number": "718-879-8182",
            "fax_number": "347-390-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "482 NYC OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "929-924-6019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.