Organization Active NPI

Lens Lab Express, Inc.

  • Optometrist
  • Jamaica, NY
National Provider Identifier
1245454917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002552-1 Issued in NY
Legal business name
LENS LAB EXPRESS, INC.
Practice address
16334 Jamaica Ave
Jamaica, NY 11432-4912
Phone
(718) 526-2332
Fax
(718) 297-3349
NPI assigned
Apr 12, 2007
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
Mr. Alan Sicherman
Title
Owner
Phone
(718) 526-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002552-1 NY Primary

Addresses

Primary practice location

16334 Jamaica Ave
Jamaica, NY 11432-4912

Mailing address

16334 Jamaica Ave
Jamaica, NY 11432-4912
Phone (718) 526-2332

National Provider Directory

National Provider Directory
Tax ID family
Lens Lab Express2 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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16334 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324912",
            "telephone_number": "718-526-2332",
            "fax_number": "718-297-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16334 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324912",
            "telephone_number": "718-526-2332",
            "fax_number": "718-297-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS LAB EXPRESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICHERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-526-2332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002552-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, 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.