Organization Active NPI

R and R Optical, Inc.

  • Optometrist
  • Massapequa Park, NY
National Provider Identifier
1285859827
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003430-0 Issued in NY
Legal business name
R AND R OPTICAL, INC.
Doing business as
Cohen's Fashion Optical, Inc.
Practice address
5284 Sunrise Hwy
Massapequa Park, NY 11762-2907
Phone
(516) 795-3030
Fax
(516) 795-2418
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Mr. Roman RakhimovNPI 1023229481
Title
Owner
Phone
(516) 795-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 003430-0 NY Primary

Addresses

Primary practice location

5284 Sunrise Hwy
Massapequa Park, NY 11762-2907

Mailing address

5284 Sunrise Hwy
Massapequa Park, NY 11762-2907
Phone (516) 795-3030

Other names 1

  • Cohen's Fashion Optical, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000037 NY Part B Supplier - Clinic/Group Practice 7719060060 Receives reassigned benefits from 1 practitioner
Practice locations: Massapequa Park, NY

National Provider Directory

National Provider Directory

Locations

224 Sunrise Mall
Massapequa, NY 11758
Phone (516) 795-3030

5284 Sunrise Hwy
Massapequa Pk, NY 11762
Phone (516) 795-3030

Practitioners & affiliated clinicians

Practitioners 2

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1285859827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 SUNRISE HWY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622907",
            "telephone_number": "516-795-3030",
            "fax_number": "516-795-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5284 SUNRISE HWY",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622907",
            "telephone_number": "516-795-3030",
            "fax_number": "516-795-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R AND R OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "RAKHIMOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-795-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003430-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cohen's Fashion Optical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa Park, NY

Sources for this page

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