Organization Active NPI

Queens Vision Center Inc

  • Optometrist
  • Elmhurst, NY
National Provider Identifier
1285802454
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006737 Issued in NY
Legal business name
QUEENS VISION CENTER INC
Practice address
8112 Broadway
Elmhurst, NY 11373-2450
Phone
(718) 803-0178
Fax
(718) 672-1509
NPI assigned
Feb 11, 2008
Reactivated
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
James Chuang, O.D.
Title
Optometrist
Phone
(718) 803-0178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006737 NY Primary

Addresses

Primary practice location

8112 Broadway
Elmhurst, NY 11373-2450

Mailing address

8112 Broadway
Elmhurst, NY 11373-2450
Phone (718) 803-0178

National Provider Directory

National Provider Directory

Locations

8112 Broadway
Elmhurst, NY 11373
Phone (718) 803-0178

Practitioners & affiliated clinicians

Practitioners 3

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1285802454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732450",
            "telephone_number": "718-803-0178",
            "fax_number": "718-672-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732450",
            "telephone_number": "718-803-0178",
            "fax_number": "718-672-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "deactivation_date": "2019-08-22",
        "reactivation_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-803-0178",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.