NPIMap

Organization Active NPI

Flushing Mall Optical, Inc.

  • Optician
  • Flushing, NY
National Provider Identifier
1124030960
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
005285 Issued in NY
Legal business name
FLUSHING MALL OPTICAL, INC.
Practice address
13333 39TH Ave
F22 Flushing Mall
Flushing, NY 11354-4432
Phone
(718) 888-2691
Fax
(718) 888-2691
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Ming Ki Yue, D.O.NPI 1932217718
Title
President
Phone
(718) 888-2691

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 005285 NY Primary

Addresses

Primary practice location

13333 39TH Ave
F22 Flushing Mall
Flushing, NY 11354-4432

Mailing address

13333 39TH Ave
F22 Flushing Mall
Flushing, NY 11354-4432
Phone (718) 888-2691

Other identifiers 1

IdentifierTypeStateIssuer
02253249MedicaidNY

National Provider Directory

National Provider Directory

Locations

13333 39th Ave
#F22
Flushing, NY 11354
Phone (718) 888-2691

Practitioners & affiliated clinicians

Practitioners 4

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1124030960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 39TH AVE",
            "address_2": "F22 FLUSHING MALL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544432",
            "telephone_number": "718-888-2691",
            "fax_number": "718-888-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 39TH AVE",
            "address_2": "F22 FLUSHING MALL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544432",
            "telephone_number": "718-888-2691",
            "fax_number": "718-888-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING MALL OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "YUE",
        "authorized_official_first_name": "MING",
        "authorized_official_middle_name": "KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-2691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02253249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.