Ny Vision Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008183-1 Issued in NY

Legal business name

NY VISION GROUP

Practice address

11915 Atlantic Ave
Richmond Hill, NY 11418-3216

Phone

(718) 805-0700

Fax

(718) 805-5621

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne Lopez

Title

Credentialing Manager

Phone

(718) 805-0700

Specialties & licenses 1

Addresses

Other names 1

• Harry R Koster md pc DBA NY Vision Group Former legal business name

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1326449513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 ATLANTIC AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183216",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ATLANTIC AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183216",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-805-0700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008183-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harry R Koster md pc DBA NY Vision Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.