Organization Active NPI

Eyeland Visioncare Inc

  • Optometrist
  • Flushing, NY
National Provider Identifier
1376800482
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006920 Issued in NY
Legal business name
EYELAND VISIONCARE INC
Practice address
4034 Union St
Flushing, NY 11354-6044
Phone
(718) 886-8858
Fax
(718) 886-8897
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. John Qiang Yin, O.D.
Title
Chairman
Phone
(718) 886-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006920 NY Primary

Addresses

Primary practice location

4034 Union St
Flushing, NY 11354-6044

Mailing address

4034 Union St
Flushing, NY 11354-6044
Phone (718) 886-8858

Other identifiers 1

IdentifierTypeStateIssuer
02680871MedicaidNY

Other names 1

  • Flushing Eyes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1376800482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546044",
            "telephone_number": "718-886-8858",
            "fax_number": "718-886-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546044",
            "telephone_number": "718-886-8858",
            "fax_number": "718-886-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELAND VISIONCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "QIANG",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-886-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02680871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flushing Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 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.