NPIMap

Organization Active NPI

National Vision Care Center Inc.

Doing business as Cohen's Fashion Optical

  • Optician
  • Corona, NY
National Provider Identifier
1093966764
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007177-1 Issued in NY
Legal business name
NATIONAL VISION CARE CENTER INC.
Doing business as
Cohen's Fashion Optical
Practice address
10219 Roosevelt Ave
Corona, NY 11368-2331
Phone
(718) 507-8200
NPI assigned
Sep 30, 2008
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mrs. Mariangelique ChevresNPI 1851462261
Title
Owner
Phone
(718) 507-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 007177-1 NY Primary

Addresses

Primary practice location

10219 Roosevelt Ave
Corona, NY 11368-2331

Mailing address

10219 Roosevelt Ave
Corona, NY 11368-2331
Phone (718) 507-8200

Other names 1

  • Cohen's Fashion Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110608000552 NY Part B Supplier - Clinic/Group Practice 9931386554 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, NY

National Provider Directory

National Provider Directory
Tax ID family
Cohen's Fashion Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10219 Roosevelt Ave
Corona, NY 11368
Phone (718) 250-7820

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1093966764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-507-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-507-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VISION CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "MARIANGELIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-507-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007177-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.