Northern Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005727-1 Issued in NY

Legal business name

NORTHERN OPTICAL INC.

Practice address

15220 Northern Blvd
Flushing, NY 11354-4951

Phone

(718) 359-2020

Fax

(718) 517-6075

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Hong Yun Kim

Title

President

Phone

(718) 359-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1245659358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544951",
            "telephone_number": "718-359-2020",
            "fax_number": "718-517-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544951",
            "telephone_number": "718-359-2020",
            "fax_number": "718-517-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HONG YUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-359-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005727-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Immediate Medical PLLC
• Northern Inerventional Medical LLC
• Northern Interventional Medical PC
• Northern Medical PLLC
• Northern Oasis Acupuncture PC
• Northern Physical Medicine, P.C.
• Northern Physical Therapy, Chiropractic & Acupuncture, PLLC
• Northern Urgent Medical Care PLLC
• Northstar Drug Inc
• Nova Medical Group LLC

• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.