Organization Active NPI

Optimeyes Vision of Lic Optometric Associates PLLC

  • Optometrist
  • Long Island City, NY
National Provider Identifier
1497165468
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006968 Issued in NY
Legal business name
OPTIMEYES VISION OF LIC OPTOMETRIC ASSOCIATES PLLC
Doing business as
OptimEyes Vision of LIC
Practice address
527 50TH Ave
Long Island City, NY 11101-5711
Phone
(718) 482-8882
Fax
(718) 482-9880
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Pauline Leong, O.D.
Title
Optometrist/Partner
Phone
(718) 482-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV006968 NY Primary

Addresses

Primary practice location

527 50TH Ave
Long Island City, NY 11101-5711

Mailing address

527 50TH Ave
Long Island City, NY 11101-5711
Phone (718) 482-8882

Other names 1

  • OptimEyes Vision of LIC Doing business as

National Provider Directory

National Provider Directory

Locations

527 50th Ave
Long Island City, NY 11101
Phone (718) 482-8882

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1497165468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015711",
            "telephone_number": "718-482-8882",
            "fax_number": "718-482-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015711",
            "telephone_number": "718-482-8882",
            "fax_number": "718-482-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMEYES VISION OF LIC OPTOMETRIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "718-482-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptimEyes Vision of LIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.