Optique Elegance, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4931 Issued in NY

Legal business name

OPTIQUE ELEGANCE, LLC

Practice address

3410 Avenue N
Brooklyn, NY 11234-2607

Phone

(718) 421-0075

Fax

(718) 421-3839

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Phyllis Budnitz, OPTICIAN

Title

Ceo

Phone

(718) 421-0075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346452257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342607",
            "telephone_number": "718-421-0075",
            "fax_number": "718-421-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342607",
            "telephone_number": "718-421-0075",
            "fax_number": "718-421-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIQUE ELEGANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUDNITZ",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-421-0075",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.