Organization Active NPI

Eyeland Vision Center Inc.

  • Optometrist
  • New Hyde Park, NY
National Provider Identifier
1164566626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006743-1 Issued in NY
Legal business name
EYELAND VISION CENTER INC.
Practice address
665 Hillside Ave
New Hyde Park, NY 11040-2512
Phone
(516) 328-1200
Fax
(516) 488-8262
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Maty Fried
Title
Owner
Phone
(516) 328-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006743-1 NY Primary

Addresses

Primary practice location

665 Hillside Ave
New Hyde Park, NY 11040-2512

Mailing address

665 Hillside Ave
New Hyde Park, NY 11040-2512
Phone (516) 328-1200

National Provider Directory

National Provider Directory

Locations

665 Hillside Ave
North New Hyde Park, NY 11040
Phone (516) 328-1200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164566626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402512",
            "telephone_number": "516-328-1200",
            "fax_number": "516-488-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402512",
            "telephone_number": "516-328-1200",
            "fax_number": "516-488-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELAND VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "MATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-328-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.