J Optics Store Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

009424 Issued in NY

Legal business name

J OPTICS STORE INC

Practice address

1321 Avenue J
Brooklyn, NY 11230-3605

Phone

(718) 534-4651

Fax

(718) 534-4654

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Leonid Yusupov, OPT

Title

Licensed Optician

Phone

(718) 534-4651

Specialties & licenses 1

Addresses

Other names 1

• J optical Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Dalia Fried, OD

  • Optometrist
  • Jackson HTS, NY
  • NPI 1851577621
  Medicare reassignment
• Aliza Loshinsky, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1669943262
  Medicare reassignment

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1295113157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303605",
            "telephone_number": "718-534-4651",
            "fax_number": "718-534-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303605",
            "telephone_number": "718-534-4651",
            "fax_number": "718-534-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J OPTICS STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "718-534-4651",
        "authorized_official_credential": "OPT"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "009424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Eyewear Supplier in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.