Active NPI
Fabulous Optical of Li Corp.
- Optician
- Valley Stream, NY
National Provider Identifier
1386567758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Optician | 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 DirectoryLocations
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.