NPIMap

Organization Active NPI

Star Specs of 5TH Avenue, Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1285765396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006679 Issued in NY
Legal business name
STAR SPECS OF 5TH AVENUE, INC.
Practice address
545 5TH Ave
New York, NY 10017-3609
Phone
(212) 697-0915
Fax
(212) 490-3362
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ellen Kim
Title
Owner
Phone
(212) 697-0915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006679 NY Primary

Addresses

Primary practice location

545 5TH Ave
New York, NY 10017-3609

Mailing address

545 5TH Ave
New York, NY 10017-3609
Phone (212) 697-0915

Other names 1

  • Cohen's Fashion Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cohen'S Fashion Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285765396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173609",
            "telephone_number": "212-697-0915",
            "fax_number": "212-490-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173609",
            "telephone_number": "212-697-0915",
            "fax_number": "212-490-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SPECS OF 5TH AVENUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-697-0915",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.