Organization Active NPI

Queens Vision Optometry PC

  • Optometrist
  • Flushing, NY
National Provider Identifier
1376430868
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
QUEENS VISION OPTOMETRY PC
Practice address
3806 Junction Blvd
Flushing, NY 11368-5369
Phone
(718) 672-3115
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Boris KapelnikNPI 1013963057
Title
OD
Phone
(347) 842-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3806 Junction Blvd
Flushing, NY 11368-5369

Mailing address

3806 Junction Blvd
Flushing, NY 11368-5369
Phone (718) 672-3115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718002912 NY Part B Supplier - Clinic/Group Practice 9830605625 Receives reassigned benefits from 2 practitioners
Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Locations

3806 Junction Blvd
Flushing, NY 11368
Phone (718) 672-3115

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1376430868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 JUNCTION BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113685369",
            "telephone_number": "718-672-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 JUNCTION BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113685369",
            "telephone_number": "718-672-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS VISION OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "KAPELNIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "347-842-8871"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Jun 18, 2025; 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.