Organization Active NPI

Tag Vision Inc.

  • Eyewear Supplier
  • Brooklyn, NY
National Provider Identifier
1457543092
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TAG VISION INC.
Practice address
2830 Church Ave
Brooklyn, NY 11226-4106
Phone
(718) 462-0500
Fax
(718) 462-7997
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Miss Madelin M George
Title
Adminisrator
Phone
(718) 462-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2830 Church Ave
Brooklyn, NY 11226-4106

Mailing address

2830 Church Ave
Brooklyn, NY 11226-4106
Phone (718) 462-0500

Other identifiers 1

IdentifierTypeStateIssuer
02831501MedicaidNY

National Provider Directory

National Provider Directory

Locations

2830 Church Ave
Brooklyn, NY 11226
Phone (718) 462-0500

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1457543092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-462-0500",
            "fax_number": "718-462-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-462-0500",
            "fax_number": "718-462-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAG VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MADELIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISRATOR",
        "authorized_official_telephone_number": "718-462-0500",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02831501",
            "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 17, 2007; 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.