North Queens Optometric Associates PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 006091 Issued in NY

Legal business name

NORTH QUEENS OPTOMETRIC ASSOCIATES PLLC

Practice address

13505 20TH Ave
College Point, NY 11356-2446

Phone

(718) 661-0713

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Lisa Chan-O'Connell, O.D.

Title

Partner

Phone

(516) 426-5526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1245547694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N BAY AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582545",
            "telephone_number": "516-541-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 20TH AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562446",
            "telephone_number": "718-661-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH QUEENS OPTOMETRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "CHAN-O'CONNELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-426-5526",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in College Point, NY
• Providers in College Point, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.