Active NPI
Grand Optical,Inc
- Optometrist
- Garden City, NY
National Provider Identifier
1205286192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005108-3
- Legal business name
- GRAND OPTICAL,INC
- Practice address
- 630 Old Country Rd
493/A
Garden City, NY 11530-3467 - Phone
- (516) 741-0700
- Fax
- (516) 741-0707
- NPI assigned
- Jun 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Boris Kaminsky
- Title
- President
- Phone
- (516) 741-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005108-3 | NY | Primary |
Addresses
Primary practice location
630 Old Country Rd
493/A
Garden City, NY 11530-3467
Mailing address
630 Old Country Rd
493/A
Garden City, NY 11530-3467
Phone (516) 741-0700
Other names 1
- L'GRAND OPTICAL
National Provider Directory
National Provider DirectoryLocations
630 Old Country Rd
Unit 493A
Garden City, NY 11530
Phone (516) 408-5330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466467200000",
"number": "1205286192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 OLD COUNTRY RD",
"address_2": "493/A",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303467",
"telephone_number": "516-741-0700",
"fax_number": "516-741-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 OLD COUNTRY RD",
"address_2": "493/A",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303467",
"telephone_number": "516-741-0700",
"fax_number": "516-741-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND OPTICAL,INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A",
"authorized_official_last_name": "KAMINSKY",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-741-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "T005108-3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "L'GRAND OPTICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.