Organization Active NPI

Eye & Glasses Optical Inc

  • Optometrist
  • Flushing, NY
National Provider Identifier
1366175184
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE & GLASSES OPTICAL INC
Practice address
45-19B 162ND Street
Flushing, NY 11358-3297
Phone
(718) 321-1500
Fax
(718) 888-7739
NPI assigned
Jul 8, 2022
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Yunsik Choi
Title
Owner
Phone
(718) 321-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

45-19B 162ND Street
Flushing, NY 11358-3297

Mailing address

45-19B 162ND Street
Flushing, NY 11358-3297
Phone (718) 321-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101001651 NY Part B Supplier - Clinic/Group Practice 4486000163 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4519 162nd St
Flushing, NY 11358
Phone (718) 321-1500

4519 162nd St
#B
Flushing, NY 11358
Phone (718) 321-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1366175184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-19B 162ND STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583297",
            "telephone_number": "718-321-1500",
            "fax_number": "718-888-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-19B 162ND STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583297",
            "telephone_number": "718-321-1500",
            "fax_number": "718-888-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & GLASSES OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-12-06",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "YUNSIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-1500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.