B'Klyn Eye Boutique, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

B'KLYN EYE BOUTIQUE, INC.

Practice address

572 Atlantic Ave
Brooklyn, NY 11217-4912

Phone

(718) 636-4316

Fax

(718) 636-4372

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Bethea Edouard

Title

President

Phone

(718) 636-4316

Specialties & licenses 1

Addresses

Practitioners 1

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

• Junnette Ann Harrington

  • Optician
  • Brooklyn, NY
  • NPI 1417114976
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1104083674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174912",
            "telephone_number": "718-636-4316",
            "fax_number": "718-636-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174912",
            "telephone_number": "718-636-4316",
            "fax_number": "718-636-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B'KLYN EYE BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "EDOUARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "BETHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-636-4316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.