Active NPI
Flatbush Vision Express Inc
- Health Maintenance Organization
- Brooklyn, NY
National Provider Identifier
1144531336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144531336 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.