Green Vision Optician P.C.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

009190-1 Issued in NY

Legal business name

GREEN VISION OPTICIAN P.C.

Practice address

404 East 117 St
#1
Ny, NY 10035

Phone

(917) 688-7439

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Eliza Iosilevich, OPTICIAN

Title

President

Phone

(347) 757-5475

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1497147524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 EAST 117 ST",
            "address_2": "#1",
            "city": "NY",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "917-688-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 EAST 117 ST",
            "address_2": "#1",
            "city": "NY",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "917-688-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VISION OPTICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "IOSILEVICH",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-757-5475",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "009190-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ina Gordon, OCCUPATIONAL THERAPI
• Simone Gordon, DSW
• Cintia Magdalena Graham, L.C.S.W.
• Joshua M Grahlman, DPT
• Fred Elliot Grapel, DDS
• Debra Green, MD
• Jerome L Greenberg, DC
• Diane Greene, LCSW
• Judith Greenfield, MA., CCC- SLP
• Lois Evan Greifer, PHD

• Community Health Clinic/Center in Ny, NY
• Providers in Ny, NY by specialty
• Community Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.