Coop City Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007786 Issued in NY

Legal business name

COOP CITY EYE CARE INC

Practice address

691 Co Op City Blvd
Bronx, NY 10475-1673

Phone

(718) 320-0551

Fax

(347) 843-0430

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Edward Bangiyev, OPTHALMIC DISPENSER

Title

Optician/Owner

Phone

(718) 320-0551

Specialties & licenses 3

Addresses

Other names 1

• NATIONAL EYECARE Former legal business name

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1356763056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 CO OP CITY BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751673",
            "telephone_number": "718-320-0551",
            "fax_number": "347-843-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 CO OP CITY BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751673",
            "telephone_number": "718-320-0551",
            "fax_number": "347-843-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOP CITY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "BANGIYEV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "718-320-0551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007786",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV007786",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATIONAL EYECARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lliwelyn T Cooley, RN
• Maile Cooley
• Olivia Cooley, LCSW
• Gary Coonley, MSW
• Coop Car Care Inc.
• Coop Citydental Associates PLLC (city smiles dental)
• Carol J Cooper-Baucicot, NP
• Akirrah Christina Cooper, ATC/L
• Dennis L Cooper, MD
• Dominique Cooper

• Optometrist in Bronx, NY
• Providers in Bronx, 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 23, 2015; 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.