NPIMap

Organization Active NPI

Sunnyside Optometry P.C.

  • Optometrist
  • Sunnyside, NY
National Provider Identifier
1174830988
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006238 Issued in NY
Legal business name
SUNNYSIDE OPTOMETRY P.C.
Practice address
4701 Queens Blvd
Suite Number 303
Sunnyside, NY 11104-1600
Phone
(516) 801-6323
Fax
(888) 314-7302
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Michael Varujan Kalustian, O.D.NPI 1003991100
Title
President
Phone
(516) 801-6323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T006238 NY Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X T006238 NY
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X T006238 NY
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X T006238 NY

Addresses

Primary practice location

4701 Queens Blvd
Suite Number 303
Sunnyside, NY 11104-1600

Mailing address

7 Sinclair Martin Dr
Roslyn, NY 11576-1184
Phone (516) 801-6323

National Provider Directory

National Provider Directory

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": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1174830988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SINCLAIR MARTIN DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761184",
            "telephone_number": "516-801-6323",
            "fax_number": "888-314-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE NUMBER 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "516-801-6323",
            "fax_number": "888-314-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KALUSTIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VARUJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-801-6323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006238",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "T006238",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "T006238",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "T006238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.