Organization Active NPI

Fashion Optics of Ny Inc

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1437219532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7335 Issued in NY
Legal business name
FASHION OPTICS OF NY INC
Practice address
4703 13TH Ave
Brooklyn, NY 11219-2602
Phone
(917) 842-8018
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Avi Baboyof
Title
Director Officer
Phone
(917) 842-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7335 NY Primary

Addresses

Primary practice location

4703 13TH Ave
Brooklyn, NY 11219-2602

Mailing address

4703 13TH Ave
Brooklyn, NY 11219-2602
Phone (917) 842-8018

Other identifiers 1

IdentifierTypeStateIssuer
01520772MedicaidNY

National Provider Directory

National Provider Directory

Locations

4703 13th Ave
Brooklyn, NY 11219
Phone (917) 842-8018

Practitioners & affiliated clinicians

Practitioners 1

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437219532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192602",
            "telephone_number": "917-842-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192602",
            "telephone_number": "917-842-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION OPTICS OF NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABOYOF",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "917-842-8018"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "7335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01520772",
            "state": "NY"
        }
    ],
    "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.