Glamour Ophthalmic Dispensing PC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

GLAMOUR OPHTHALMIC DISPENSING PC

Practice address

2445 Arthur Ave
Bronx, NY 10458-6003

Phone

(917) 473-6699

Fax

(917) 473-6697

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Julietta MullokandovaNPI 1023615564

Title

Owner

Phone

(917) 473-6699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Julietta Mullokandova, OPTHALMIC DISPENSER

  • Optician
  • Bronx, NY
  • NPI 1023615564
  NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1295338291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586003",
            "telephone_number": "917-473-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586003",
            "telephone_number": "917-473-6699",
            "fax_number": "917-473-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOUR OPHTHALMIC DISPENSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MULLOKANDOVA",
        "authorized_official_first_name": "JULIETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-473-6699"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hakim Gladden, LPN
• Lindsey Marie Gladden, PA-C
• Alisa Gladstone-Brown, M.D.
• Gladys Henry
• Philip Michael Glaessner Jr.
• Yitzchok Glancz, DDS
• Mariela Glandt, MD
• Lila Glantzman-Leib
• Charles Joseph Glaser, DDS
• Rachel Glaser

• Optician in Bronx, NY
• Providers in Bronx, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.