Organization Active NPI

Iar Royal Optical, Inc.

Doing business as Cohen's Fashion Optical

  • Optometrist
  • Valley Stream, NY
National Provider Identifier
1184754624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY 003561-2 Issued in NY
Legal business name
IAR ROYAL OPTICAL, INC.
Doing business as
Cohen's Fashion Optical
Practice address
1112 Green Acres Mall
Valley Stream, NY 11581-1536
Phone
(516) 825-4900
Fax
(516) 561-5905
NPI assigned
Mar 6, 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. Igor RickNPI 1265763148
Title
Owner
Phone
(516) 825-4900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY 003561-2 NY Primary

Addresses

Primary practice location

1112 Green Acres Mall
Valley Stream, NY 11581-1536

Mailing address

1112 Green Acres Mall
Valley Stream, NY 11581-1536
Phone (516) 825-4900

Other names 1

  • Cohen's Fashion Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512000635 NY Part B Supplier - Clinic/Group Practice 4486931854 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

1112 Green Acres Mall
Valley Stream, NY 11581
Phone (516) 825-4900

Practitioners & affiliated clinicians

Practitioners 2

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184754624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GREEN ACRES MALL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811536",
            "telephone_number": "516-825-4900",
            "fax_number": "516-561-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GREEN ACRES MALL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811536",
            "telephone_number": "516-825-4900",
            "fax_number": "516-561-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAR ROYAL OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-825-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY 003561-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Stream, 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.
  • 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.