Organization Active NPI

First Optical Corp.

  • Optometrist
  • New York, NY
National Provider Identifier
1215001391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006875 Issued in NY
Legal business name
FIRST OPTICAL CORP.
Practice address
117 Orchard St
New York, NY 10002-3276
Phone
(212) 674-1986
Fax
(212) 475-2082
NPI assigned
Nov 20, 2006
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
Elaina Zavilensky
Title
President
Phone
(212) 674-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006875 NY Primary

Addresses

Primary practice location

117 Orchard St
New York, NY 10002-3276

Mailing address

117 Orchard St
New York, NY 10002-3276
Phone (212) 674-1986

Other identifiers 1

IdentifierTypeStateIssuer
02771011MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Cohen'S Fashion Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215001391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ORCHARD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023276",
            "telephone_number": "212-674-1986",
            "fax_number": "212-475-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ORCHARD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023276",
            "telephone_number": "212-674-1986",
            "fax_number": "212-475-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST OPTICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAVILENSKY",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-674-1986"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02771011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.