NPIMap

Organization Active NPI

MB Eyecare

  • Optometrist
  • College Point, NY
National Provider Identifier
1184068215
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007404 Issued in NY
Legal business name
MB EYECARE
Practice address
13505 20TH Ave
Inside Target Optical
College Point, NY 11356-2446
Phone
(718) 321-0571
Fax
(718) 353-3029
NPI assigned
Apr 19, 2013
Last updated
Apr 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Michael Bernstein, O.D.NPI 1235368903
Title
Optometrist/Owner
Phone
(718) 321-0571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007404 NY Primary

Addresses

Primary practice location

13505 20TH Ave
Inside Target Optical
College Point, NY 11356-2446

Mailing address

13505 20TH Ave
Inside Target Optical
College Point, NY 11356-2446
Phone (718) 321-0571

National Provider Directory

National Provider Directory

Locations

13505 20th Ave
College Point, NY 11356
Phone (718) 661-0713

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1184068215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 20TH AVE",
            "address_2": "INSIDE TARGET OPTICAL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562446",
            "telephone_number": "718-321-0571",
            "fax_number": "718-353-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 20TH AVE",
            "address_2": "INSIDE TARGET OPTICAL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562446",
            "telephone_number": "718-321-0571",
            "fax_number": "718-353-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "718-321-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.