Organization Active NPI

Cocos Vision Designer Optical

  • Optometrist
  • Astoria, NY
National Provider Identifier
1235780719
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COCOS VISION DESIGNER OPTICAL
Practice address
3185 Steinway St
Astoria, NY 11103-3908
Phone
(718) 685-2009
NPI assigned
Sep 25, 2019
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COCOS VISION DESIGNER OPTICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Ethan Faraonov
Title
Manager
Phone
(516) 727-5070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3185 Steinway St
Astoria, NY 11103-3908

Mailing address

3185 Steinway St
Astoria, NY 11103-3908
Phone (718) 685-2009

National Provider Directory

National Provider Directory
Part of
Cocos Vision Designer Optical

Locations

3185 Steinway St
Astoria, NY 11103
Phone (347) 935-3252

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1235780719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033908",
            "telephone_number": "718-685-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033908",
            "telephone_number": "718-685-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOS VISION DESIGNER OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCOS VISION DESIGNER OPTICAL",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "FARAONOV",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-727-5070"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.