Pure Eyecare Optometry P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PURE EYECARE OPTOMETRY P.C.

Practice address

10537 65TH Ave Apt 4D
Forest Hills, NY 11375-1818

Phone

(917) 476-7757

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Roman Kakzanov, OD

Title

Doctor of Optometry

Phone

(917) 476-7757

Specialties & licenses 1

Addresses

Other names 1

• Pure Eyecare Doing business as

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1285278606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10537 65TH AVE APT 4D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751818",
            "telephone_number": "917-476-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10537 65TH AVE APT 4D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751818",
            "telephone_number": "917-476-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE EYECARE OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "KAKZANOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "917-476-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelica Puentes Cuellar
• Linda L Puertas, MSW
• Angelina Pulatov, M.ED, CCC-SLP
• Pulmonary Associates of Queens PC
• Olivia Anna Pulvirenti
• Pure Vision Optical LLC
• Elizabeth Pyon
• Shuqiang Qi
• Meng Qian
• Julie Qiu

• Medical Specialty Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.