Organization Active NPI

Queens Optometric Associates PC

Doing business as Queens Eye Associates

  • Optometrist
  • Flushing, NY
National Provider Identifier
1508827890
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
QUEENS OPTOMETRIC ASSOCIATES PC
Doing business as
Queens Eye Associates
Practice address
29 03 Union Street
Flushing, NY 11354-2202
Phone
(718) 463-3412
Fax
(718) 445-0867
NPI assigned
Mar 28, 2006
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. Arakady Selenow, OD
Title
Optometrist
Phone
(718) 463-3412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

29 03 Union Street
Flushing, NY 11354-2202

Mailing address

29 03 Union Street
Flushing, NY 11354-2202
Phone (718) 463-3412

Other names 1

  • Queens Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000077 NY Part B Supplier - Clinic/Group Practice 9638180250 Receives reassigned benefits from 5 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

2903 Union St
Flushing, NY 11354
Phone (718) 463-3412

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1508827890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 03 UNION STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542202",
            "telephone_number": "718-463-3412",
            "fax_number": "718-445-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 03 UNION STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542202",
            "telephone_number": "718-463-3412",
            "fax_number": "718-445-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS OPTOMETRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "SELENOW",
        "authorized_official_first_name": "ARAKADY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-463-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.