Organization Active NPI

Wheels of Vision, Inc.

  • Eyewear Supplier
  • Jamaica, NY
National Provider Identifier
1417938150
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
004661 Issued in NY
Legal business name
WHEELS OF VISION, INC.
Practice address
13809 Queens Blvd
Jamaica, NY 11435-2641
Phone
(718) 739-6507
Fax
(718) 523-7466
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mr. Robert Phillip Kaplan, ODNPI 1740219096
Title
Optician Manager
Phone
(718) 739-6507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 004661 NY Primary

Addresses

Primary practice location

13809 Queens Blvd
Jamaica, NY 11435-2641

Mailing address

13809 Queens Blvd
Jamaica, NY 11435-2641
Phone (718) 739-6507

Other identifiers 1

IdentifierTypeStateIssuer
00531228MedicaidNY

National Provider Directory

National Provider Directory

Locations

13809 Queens Blvd
Jamaica, NY 11435
Phone (718) 739-6507

Practitioners & affiliated clinicians

Practitioners 3

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1417938150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 QUEENS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-739-6507",
            "fax_number": "718-523-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 QUEENS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352641",
            "telephone_number": "718-739-6507",
            "fax_number": "718-523-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELS OF VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OPTICIAN MANAGER",
        "authorized_official_telephone_number": "718-739-6507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "004661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.