Omega Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

7240-1 Issued in NY

Legal business name

OMEGA OPTICAL INC

Practice address

9102 63Rd Dr
Rego Park, NY 11374-3850

Phone

(718) 897-5101

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Olga ShimanovaNPI 1396826616

Title

Optician

Phone

(718) 897-5101

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Dorothy Anne Ewald, O.D.

  • Optometrist
  • Hempstead, NY
  • NPI 1508937160
  Medicare reassignment NPD
• Olga Shimanova

  • Optician
  • Rego Park, NY
  • NPI 1396826616
  NPD (past) Authorized official
• Joseph Y Fuchs, O.D.

  • Optometrist
  • Woodmere, NY
  • NPI 1508970542
  NPD
• Grigoriy Shimonov, O.D

  • Optometrist
  • Howard Beach, NY
  • NPI 1215938139
  NPD (past)
• Jung H. Lee, O.D.

  • Optometrist
  • National City, CA
  • NPI 1417055344
  NPD (past)
• Andrea Liem, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1184853293
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1336360767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743850",
            "telephone_number": "718-897-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743850",
            "telephone_number": "718-897-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SHIMANOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-897-5101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "7240-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION CARE",
            "identifier": "NY7240",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3693521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14913",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "46613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Olson
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• Vladimir Onefater, M.D.
• Tudor Narcis Onisei, M.D.
• Onsite Medical Suite PC
• Opti Health, Corp.

• Optician in Rego Park, NY
• Providers in Rego 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 Dec 21, 2011; 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.