Avenue D Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0042251 Issued in NY

Legal business name

AVENUE D OPTICIANS INC

Practice address

4403 Avenue D
Brooklyn, NY 11203-5725

Phone

(718) 629-9490

Fax

(718) 451-0494

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stuart N King

Title

Pres Optician

Phone

(718) 629-9490

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Daniel Timothy Creighton, OD

  • Optometrist
  • Staten Island, NY
  • NPI 1386650422
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093883746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 AVENUE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035725",
            "telephone_number": "718-629-9490",
            "fax_number": "718-451-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 AVENUE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035725",
            "telephone_number": "718-629-9490",
            "fax_number": "718-451-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE D OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRES OPTICIAN",
        "authorized_official_telephone_number": "718-629-9490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0042251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01715439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Avelar Falcone de Melo
• Alexandra Avena, LCSW
• Jaclyn Avenilov
• Avenue C Medical PC
• Avenue D Dental PLLC
• Avenue D Professional Group P.C.
• Avenue F Pharmacy Inc.
• Avenue K (Icl)
• Avenue K Drugs Inc
• Avenue L Medical PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.