Organization Active NPI

CN Vision Care Inc

  • Optician
  • Woodside, NY
National Provider Identifier
1104949072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005711 Issued in NY
Legal business name
CN VISION CARE INC
Practice address
4555 46TH St
Woodside, NY 11377-5227
Phone
(718) 392-1244
NPI assigned
Apr 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nicolas Lope, OPHTHALMIC DISPENSERNPI 1780821504
Title
President
Phone
(718) 392-1244

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 005711 NY Primary

Addresses

Primary practice location

4555 46TH St
Woodside, NY 11377-5227

Mailing address

4555 46TH St
Woodside, NY 11377-5227
Phone (718) 392-1244

Other identifiers 1

IdentifierTypeStateIssuer
02216324MedicaidNY

National Provider Directory

National Provider Directory

Locations

4555 46th St
Woodside, NY 11377
Phone (718) 392-1244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104949072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 46TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775227",
            "telephone_number": "718-392-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 46TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775227",
            "telephone_number": "718-392-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CN VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPE",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-392-1244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPHTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • 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.