Organization Active NPI

Grand Optical,Inc

  • Optometrist
  • Garden City, NY
National Provider Identifier
1205286192
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005108-3 Issued in NY
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

Updated by the provider on Jun 21, 2016

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.