Organization Active NPI

Lensmasters, Inc

  • Primary Care Clinic/Center
  • South Richmond Hill, NY
National Provider Identifier
1487628020
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LENSMASTERS, INC
Practice address
11502 Liberty Ave
South Richmond Hill, NY 11419-1902
Phone
(718) 835-8000
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Igor Slony, OPTICIAN
Title
Manager
Phone
(718) 835-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11502 Liberty Ave
South Richmond Hill, NY 11419-1902

Mailing address

11502 Liberty Ave
South Richmond Hill, NY 11419-1902
Phone (718) 835-8000

Other identifiers 1

IdentifierTypeStateIssuer
01880620MedicaidNY

National Provider Directory

National Provider Directory

Locations

11502 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 835-8000

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1487628020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191902",
            "telephone_number": "718-835-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191902",
            "telephone_number": "718-835-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENSMASTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SLONY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-835-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.