Organization Active NPI

D K Optical, Inc.

  • Optometrist
  • Lake Grove, NY
National Provider Identifier
1245360551
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY T003255-2 Issued in NY
Legal business name
D K OPTICAL, INC.
Practice address
324 Smith Haven Mall
Lake Grove, NY 11755-1201
Phone
(631) 361-7310
Fax
(631) 361-2018
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Dany Kogan
Title
Owner
Phone
(631) 361-7310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY T003255-2 NY Primary

Addresses

Primary practice location

324 Smith Haven Mall
Lake Grove, NY 11755-1201

Mailing address

324 Smith Haven Mall
Lake Grove, NY 11755-1201
Phone (631) 361-7310

Other names 1

  • Cohen's Fashion Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1245360551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551201",
            "telephone_number": "631-361-7310",
            "fax_number": "631-361-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SMITH HAVEN MALL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551201",
            "telephone_number": "631-361-7310",
            "fax_number": "631-361-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D K OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "DANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-361-7310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY T003255-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.