Organization Active NPI

I.N.Optical Corp.

  • Optician
  • Forest Hills, NY
National Provider Identifier
1427037092
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
006712-1 Issued in NY
Legal business name
I.N.OPTICAL CORP.
Practice address
11212 Queens Blvd
Forest Hills, NY 11375-6344
Phone
(718) 261-1764
Fax
(718) 261-1764
NPI assigned
Jan 12, 2006
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Mr. Isaak Sharivker, OPTICIANNPI 1003883505
Title
Owner/Optician
Phone
(718) 261-1764

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
Optician 156FX1800X 006712-1 NY Primary

Addresses

Primary practice location

11212 Queens Blvd
Forest Hills, NY 11375-6344

Mailing address

11212 Queens Blvd
Forest Hills, NY 11375-6344
Phone (718) 261-1764

Other identifiers 8

IdentifierTypeStateIssuer
2960956OtherAETNA
9724462OtherNYGHI
01788816MedicaidNY
168520OtherNYEYE MED VISION CARE
P3871801OtherNYOXFORD HEALTH PLANS
905828OtherNYBLOCK VISION
010047901OtherNYAMERICHOICE
230230OtherNYUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

11212 Queens Blvd
Forest Hills, NY 11375
Phone (718) 261-1764

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1427037092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756344",
            "telephone_number": "718-261-1764",
            "fax_number": "718-261-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756344",
            "telephone_number": "718-261-1764",
            "fax_number": "718-261-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.N.OPTICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "SHARIVKER",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "718-261-1764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006712-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2960956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9724462",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION CARE",
            "identifier": "168520",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3871801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "905828",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010047901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "230230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.