Organization Active NPI

Metro-Optica Eyewear, Inc.

  • Optometrist
  • Kew Gardens, NY
National Provider Identifier
1528294568
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006389 Issued in NY
Legal business name
METRO-OPTICA EYEWEAR, INC.
Practice address
11827 Metropolitan Ave
Kew Gardens, NY 11415-2020
Phone
(718) 850-0050
Fax
(718) 850-0056
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Dr. Natalya Malakova, O.D.
Title
President
Phone
(917) 680-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT006389 NY Primary

Addresses

Primary practice location

11827 Metropolitan Ave
Kew Gardens, NY 11415-2020

Mailing address

11827 Metropolitan Ave
Kew Gardens, NY 11415-2020
Phone (718) 850-0050

National Provider Directory

National Provider Directory

Locations

11827 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 850-0050

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1528294568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11827 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "718-850-0050",
            "fax_number": "718-850-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11827 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152020",
            "telephone_number": "718-850-0050",
            "fax_number": "718-850-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO-OPTICA EYEWEAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "MALAKOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-680-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.