Eyespecs International LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EYESPECS INTERNATIONAL LLC

Practice address

20 Dunton Ave
Deer Park, NY 11729-4702

Phone

(877) 393-7732

Fax

(833) 393-7732

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Hanukashvili

Title

Owner

Phone

(917) 440-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1295416923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUNTON AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294702",
            "telephone_number": "877-393-7732",
            "fax_number": "833-393-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUNTON AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294702",
            "telephone_number": "877-393-7732",
            "fax_number": "833-393-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESPECS INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HANUKASHVILI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-440-9696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.