Organization Active NPI

Optique Elegance of New York, Inc.

  • Optician
  • Brooklyn, NY
National Provider Identifier
1386865756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4931 Issued in NY
Legal business name
OPTIQUE ELEGANCE OF NEW YORK, INC.
Practice address
1552 Coney Island Ave
Brooklyn, NY 11230-4716
Phone
(718) 258-0315
Fax
(718) 258-6622
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Phyllis Budnitz, OPTICIAN
Title
Ceo
Phone
(718) 258-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4931 NY Primary

Addresses

Primary practice location

1552 Coney Island Ave
Brooklyn, NY 11230-4716

Mailing address

1552 Coney Island Ave
Brooklyn, NY 11230-4716
Phone (718) 258-0315

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386865756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304716",
            "telephone_number": "718-258-0315",
            "fax_number": "718-258-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304716",
            "telephone_number": "718-258-0315",
            "fax_number": "718-258-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIQUE ELEGANCE OF NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUDNITZ",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-258-0315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "4931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.