Pure Vision Optical 2 LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PURE VISION OPTICAL 2 LLC

Practice address

53 W Fordham Rd FRNT 4
Bronx, NY 10468-5110

Phone

(917) 670-5116

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Oren Yakubov

Title

Owner

Phone

(917) 670-5116

Specialties & licenses 1

Addresses

Other names 1

• Pure Vision Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Inessa Jacobs, O.D.

  • Optometrist
  • Woodside, NY
  • NPI 1609257872
  Medicare reassignment NPD
• Siyun Ren, OD

  • Optometrist
  • Camillus, NY
  • NPI 1811620834
  Medicare reassignment NPD
• Lucy Zhu, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1912560319
  Medicare reassignment NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1164156261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W FORDHAM RD FRNT 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685110",
            "telephone_number": "917-670-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W FORDHAM RD FRNT 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685110",
            "telephone_number": "917-670-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE VISION OPTICAL 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "OREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-670-5116"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Vision Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aditi Puranik
• Alina Purcea, M.D.
• Claudia M Purcell, LMSW
• Pam R Purcell, MSRD, CNSD, CDN
• Pure Health RX Inc.
• Kamaljit Purewal, PT
• Narinder Purewal, OT
• Daniela Elena Purice, M.D.
• Dawn Marie Purington, M.ED, ATC
• Sutopa Purkayastha, MD

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.