Kings and Queens Optometry P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KINGS AND QUEENS OPTOMETRY P.C.

Practice address

2610 Frederick Douglass Blvd
New York, NY 10030-1704

Phone

(347) 632-2610

Fax

(347) 632-2611

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Justin Lewis, ODNPI 1699229740

Title

Owner

Phone

(347) 632-2610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Empire Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Justin Lewis, O.D.

  • Optometrist
  • Bronx, NY
  • NPI 1699229740
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1245940816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NEWTOWN AVE APT 5D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021330",
            "telephone_number": "607-425-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301704",
            "telephone_number": "347-632-2610",
            "fax_number": "347-632-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS AND QUEENS OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-632-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04604546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empire Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William L King, MD
• Molly J Kingdon, PHD
• T Peter Kingham, M.D.
• Natalie Dee Kinghorn, P.T.
• Sydney Kingman, RPA-C
• Kings Bay Medical Health P.C.
• Kings County Plastic Surgery Services, P.C.
• Kings Park Slope LLC
• Kings Third Ave. Pharmacy LLC
• Kings Tribeca Phamacy Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.