Organization Active NPI

Grand Fashion Optical, Inc

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1124269154
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GRAND FASHION OPTICAL, INC
Practice address
99 Elizabeth St FL 2
New York, NY 10013-4729
Phone
(212) 226-8868
NPI assigned
Mar 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Nancy Nai-En TsaiNPI 1184732885
Title
MD
Phone
(212) 227-8837

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

99 Elizabeth St FL 2
New York, NY 10013-4729

Mailing address

99 Elizabeth St FL 2
New York, NY 10013-4729
Phone (212) 226-8868

Other identifiers 1

IdentifierTypeStateIssuer
03120270MedicaidNY

National Provider Directory

National Provider Directory

Locations

221 Grand St
New York, NY 10013

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1124269154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ELIZABETH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "212-226-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ELIZABETH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "212-226-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND FASHION OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-22",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "NAI-EN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-227-8837"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03120270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.