Organization Active NPI

Pure Vision Optix LLC

Doing business as Absolute Eyecare

  • Optician
  • Brooklyn, NY
National Provider Identifier
1255717625
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008630 Issued in NY
Legal business name
PURE VISION OPTIX LLC
Doing business as
Absolute Eyecare
Practice address
922A Flatbush Ave
Brooklyn, NY 11226-4018
Phone
(718) 862-3655
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Mr. Edward Bangiyev
Title
Owner/President
Phone
(718) 862-3655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 008630 NY Primary

Addresses

Primary practice location

922A Flatbush Ave
Brooklyn, NY 11226-4018

Mailing address

922A Flatbush Ave
Brooklyn, NY 11226-4018
Phone (718) 862-3655

Other names 1

  • Absolute Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

546 Nostrand Ave
Brooklyn, NY 11216
Phone (718) 230-0774

922A Flatbush Ave
Brooklyn, NY 11226
Phone (718) 862-3655

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1255717625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922A FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-862-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922A FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-862-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE VISION OPTIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-862-3655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.