Excel Optical Corp

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007973-1 Issued in NY

Legal business name

EXCEL OPTICAL CORP

Practice address

4348 Colden St
Flushing, NY 11355-3934

Phone

(718) 755-0656

Fax

(888) 500-0406

NPI assigned

Jun 26, 2007

Last updated

Nov 19, 2012By 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

Mr. Vyacheslav Pinkhasov

Title

Executive Director

Phone

(718) 755-0656

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1114123031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 COLDEN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553934",
            "telephone_number": "718-755-0656",
            "fax_number": "888-500-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 COLDEN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553934",
            "telephone_number": "718-755-0656",
            "fax_number": "888-500-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "PINKHASOV",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-755-0656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007973-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02942065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evers LTC Inc
• Excel in Motion Physical Therapy P.C.
• Excel Medical Care
• Excel Medical PC
• Excel Medical PC
• Excelife Physical Therapy P.C.
• Excellence and Longevity Center
• Excellence and Longevity Center
• Excelsior Integrated Medical Group PLL, Dba Excelsior Laboratory
• Eye & Glasses Optical Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.