Organization Active NPI

Fabulous Optical of Li Corp.

  • Optician
  • Valley Stream, NY
National Provider Identifier
1386567758
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FABULOUS OPTICAL OF LI CORP.
Practice address
2034 Green Acres Mall Ste 66a
Valley Stream, NY 11581-1545
Phone
(347) 379-0023
NPI assigned
Aug 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Mark Barayev
Title
Owner
Phone
(646) 321-5802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2034 Green Acres Mall Ste 66a
Valley Stream, NY 11581-1545

Mailing address

2034 Green Acres Mall Ste 66a
Valley Stream, NY 11581-1545

National Provider Directory

National Provider Directory

Locations

2034 Green Acres Mall
Ste 66A
Valley Stream, NY 11581

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1386567758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 GREEN ACRES MALL STE 66A",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 GREEN ACRES MALL STE 66A",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811545",
            "telephone_number": "347-379-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS OPTICAL OF LI CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "BARAYEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-321-5802"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.