Organization Active NPI

Ideal Optical Choice Inc.

  • Optician
  • Brooklyn, NY
National Provider Identifier
1427247980
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008310-1 Issued in NY
Legal business name
IDEAL OPTICAL CHOICE INC.
Practice address
7602 5TH Ave
Brooklyn, NY 11209-3304
Phone
(718) 238-2020
Fax
(718) 491-3147
NPI assigned
Oct 22, 2007
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Mr. Yevgeny Vayner, OPTICIANNPI 1508053349
Title
President/Optician
Phone
(718) 238-2020

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 008310-1 NY Primary

Addresses

Primary practice location

7602 5TH Ave
Brooklyn, NY 11209-3304

Mailing address

7602 5TH Ave
Brooklyn, NY 11209-3304
Phone (718) 238-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000116 NY Part B Supplier - Clinic/Group Practice 2264515121 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1427247980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "718-238-2020",
            "fax_number": "718-491-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "718-238-2020",
            "fax_number": "718-491-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL OPTICAL CHOICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "718-238-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008310-1",
            "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 Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.