Ocean View Optical 5

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

C006785-1 Issued in NY

Legal business name

OCEAN VIEW OPTICAL 5

Practice address

453 Fulton St
Brooklyn, NY 11201-5207

Phone

(718) 596-6596

Fax

(718) 596-6596

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Anatoliy Kagan, OPTHALMIC DISPENCERNPI 1316309040

Title

Owner

Phone

(718) 596-6596

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Anatoliy Kagan

  • Optician
  • Brooklyn, NY
  • NPI 1316309040
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1144682931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015207",
            "telephone_number": "718-596-6596",
            "fax_number": "718-596-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015207",
            "telephone_number": "718-596-6596",
            "fax_number": "718-596-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN VIEW OPTICAL 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "ANATOLIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17185966596",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTHALMIC DISPENCER"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "C006785-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01729822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Surgical Supply
• Ocean View Complete Medical PC
• Ocean View Medical Care PC
• Ocean View Medical of Brooklyn PC
• Ocean View Medical PC
• Ocean View Optical Inc (oceanview optical of brooklyn ny)
• Ocean View Optical#6 Inc
• Ocean-Side Dental P.C.
• Ocean-U Pharmacy, LLC
• Oceana Car&Limo Inc

• Health Maintenance Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.