NPIMap

Organization Active NPI

Danet Optical LTD

Doing business as American Vision of Bayside

  • Optometrist
  • Bayside, NY
National Provider Identifier
1467401539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006919 Issued in NY
Legal business name
DANET OPTICAL LTD
Doing business as
American Vision of Bayside
Practice address
4101 Bell Blvd
Bayside, NY 11361-2858
Phone
(718) 428-6700
NPI assigned
May 8, 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
Mr. Edward A Teran
Title
President
Phone
(718) 428-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006919 NY Primary

Addresses

Primary practice location

4101 Bell Blvd
Bayside, NY 11361-2858

Mailing address

4101 Bell Blvd
Bayside, NY 11361-2858
Phone (718) 428-6700

Other identifiers 1

IdentifierTypeStateIssuer
01984069MedicaidNY

Other names 1

  • American Vision of Bayside Doing business as

National Provider Directory

National Provider Directory

Locations

4101 Bell Blvd
Flushing, NY 11361
Phone (718) 428-6700

Practitioners & affiliated clinicians

Practitioners 5

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467401539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612858",
            "telephone_number": "718-428-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612858",
            "telephone_number": "718-428-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANET OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-428-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984069",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vision of Bayside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayside, 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.