Elijah Peters Optique Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007584-1 Issued in NY

Legal business name

ELIJAH PETERS OPTIQUE INC

Practice address

1039 3Rd Ave
New York, NY 10065-8110

Phone

(718) 216-8181

NPI assigned

Apr 19, 2012

Last updated

Apr 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ilia Borokhov

Title

Owner

Phone

(718) 216-8181

Specialties & licenses 1

Addresses

Locations

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.

• Lidia Mullaev

  • Optician
  • New York, NY
  • NPI 1013274687
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1366709941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658110",
            "telephone_number": "718-216-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658110",
            "telephone_number": "718-216-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH PETERS OPTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BOROKHOV",
        "authorized_official_first_name": "ILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-216-8181"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerson Elidor
• Nisrine Elidrissi
• Marie Danielle Elie, RN, BSN
• Caroline Ruff Eliff
• Katherine Marie Elifritz, PT
• Elikashvili & Kulick Dental Associates, PLLC
• Inna Elikashvili, D.O.
• Victoria Elikashvili, DDS
• Elina Niyazov OD PLLC (Iris Eye Care)
• Elina NP in Family Health PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.