Organization Active NPI

Flatbush Vision Express Inc

  • Health Maintenance Organization
  • Brooklyn, NY
National Provider Identifier
1144531336
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FLATBUSH VISION EXPRESS INC
Practice address
5400 Avenue U
2ND Floor Entance
Brooklyn, NY 11234
Phone
(718) 692-6266
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Michael Shur
Title
Secretary
Phone
(718) 692-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

5400 Avenue U
2ND Floor Entance
Brooklyn, NY 11234

Mailing address

5400 Avenue U
Brooklyn, NY 11234

Other identifiers 1

IdentifierTypeStateIssuer
1144531336MedicaidNY

National Provider Directory

National Provider Directory

Locations

5400 Avenue U
Brooklyn, NY 11234
Phone (718) 252-0796

5400 Avenue N
Fl Entance
Brooklyn, NY 11234
Phone (718) 692-6266

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1144531336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 AVENUE U",
            "address_2": "2ND FLOOR ENTANCE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-692-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH VISION EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "SHUR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-692-6266"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144531336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.