NPIMap

Organization Active NPI

Dima Lauren LLC

  • Eyewear Supplier
  • New York, NY
National Provider Identifier
1386242683
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DIMA LAUREN LLC
Doing business as
Ultimate Spectacle
Practice address
789 Lexington Ave
New York, NY 10065-8163
Phone
(212) 792-8123
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Dmitriy Lauren, DO
Title
Manager
Phone
(212) 256-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

789 Lexington Ave
New York, NY 10065-8163

Mailing address

789 Lexington Ave
New York, NY 10065-8163
Phone (212) 792-8123

Other names 1

  • Ultimate Spectacle Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1386242683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658163",
            "telephone_number": "212-792-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658163",
            "telephone_number": "212-792-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMA LAUREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "LAUREN",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-256-1449",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Spectacle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ultimate Spectacle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.