Patchoque Vision Express LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PATCHOQUE VISION EXPRESS LLC

Practice address

499 Sunrise Hwy W Ste 80
Patchogue, NY 11772-2290

Phone

(631) 289-2010

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Leonid Vayner

Title

Owner

Phone

(917) 748-1570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1194585133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 SUNRISE HWY W STE 80",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722290",
            "telephone_number": "631-289-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 SUNRISE HWY W STE 80",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722290",
            "telephone_number": "631-289-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOQUE VISION EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-748-1570"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.