Organization Active NPI

Hunter Vision Center, Inc.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1275721276
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006549-1 Issued in NY
Legal business name
HUNTER VISION CENTER, INC.
Practice address
4157 Main St
Flushing, NY 11355-3132
Phone
(718) 939-6888
Fax
(718) 939-6880
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Mr. Yuchang Ma, OWNER
Title
Owner
Phone
(718) 939-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV006549-1 NY Primary

Addresses

Primary practice location

4157 Main St
Flushing, NY 11355-3132

Mailing address

4157 Main Street
Flushing, NY 11355
Phone (718) 939-6888

Other identifiers 2

IdentifierTypeStateIssuer
02511526MedicaidNY
835680001OtherNYMEDICARE PROVIDER

National Provider Directory

National Provider Directory

Locations

4157 Main St
Flushing, NY 11355
Phone (718) 939-6888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1275721276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 MAIN STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-939-6888",
            "fax_number": "718-939-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553132",
            "telephone_number": "718-939-6888",
            "fax_number": "718-939-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "YUCHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-939-6888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006549-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02511526",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "835680001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.