Eyetopia Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008016 Issued in NY

Legal business name

EYETOPIA INC.

Practice address

15905 Northern Blvd
Flushing, NY 11358-1636

Phone

(917) 563-1005

Fax

(917) 732-7719

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Seunghwan Shim

Title

Owner

Phone

(917) 563-1005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1477052124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581636",
            "telephone_number": "917-563-1005",
            "fax_number": "917-732-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581636",
            "telephone_number": "917-563-1005",
            "fax_number": "917-732-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETOPIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "SEUNGHWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-563-1005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Flushing, NY
• Providers in Flushing, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.