4501 Nyc Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

4501 NYC OPTICAL LLC

Practice address

4501 5TH Ave
Brooklyn, NY 11220-1205

Phone

(917) 847-3457

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nargiza Sobirova

Title

Credentialing Specialist

Phone

(718) 934-6714

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Arriete, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1730984980
  Medicare reassignment Care Compare group NPD
• Syeda Safura Hussaini

  • Optometrist
  • Staten Island, NY
  • NPI 1902457112
  Medicare reassignment Care Compare group NPD
• Semir Markisic, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1114579562
  Medicare reassignment NPD
• Ralph Elijah Murray, O.D.

  • Optometrist
  • Bronx, NY
  • NPI 1629213848
  Medicare reassignment NPD
• Albert Peralta, O.D

  • Optometrist
  • East Elmhurst, NY
  • NPI 1598201410
  Medicare reassignment NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1275208506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201205",
            "telephone_number": "917-847-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4501 NYC OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SOBIROVA",
        "authorized_official_first_name": "NARGIZA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "718-934-6714"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 424 Neighborhood Pharmacy Inc
• 44 Court Street Dentists PLLC
• 464 Bay Ridge Medical PLLC
• 47TH Street Enterprise LLC (Expressway Pharmacy)
• 47TH Street Enterprise, LLC
• 482 Nyc Optical LLC
• 4N Medical Care PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.