Elmhurst Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007045 Issued in NY

Legal business name

ELMHURST OPTOMETRY CORP

Practice address

10304 Roosevelt Ave
Corona, NY 11368-2330

Phone

(718) 625-8445

Fax

(718) 424-1330

NPI assigned

Jan 4, 2011

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pezhman Hourizadeh, O.D.

Title

Owner/Practitioner

Phone

(718) 625-8445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1487958526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-625-8445",
            "fax_number": "718-424-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-625-8445",
            "fax_number": "718-424-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "HOURIZADEH",
        "authorized_official_first_name": "PEZHMAN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "718-625-8445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03316685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denisha A Elliot
• Elmcor Youth & Adult Activities Inc
• Elmcor Youth and Adult Activities
• Elmcor Youth and Adult Activities, Inc
• Elmhurst Medical Office,PLLC.
• Elmont Rehab PT PC
• Alfat Elsaadi
• Howayda Said Eltantawy
• Cecilia Akua Ennin, RN ADN
• Diana Gabriela Eras

• Optometrist in Corona, NY
• Providers in Corona, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.