Explorer Optical Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EXPLORER OPTICAL INC

Doing business as

Legend Eye Care

Practice address

1351 Forest Ave
Staten Island, NY 10302-2049

Phone

(718) 564-5484

NPI assigned

Jan 25, 2019

Last updated

Jul 24, 2019By 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

Aleksandr RitsNPI 1245411511

Title

Ceo

Phone

(718) 564-5484

Specialties & licenses 1

Addresses

Other names 1

• Legend Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Jeffrey P. Hilowitz, O.D.

  • Optometrist
  • Hollywood, FL
  • NPI 1467603258

  NY

  Medicare reassignment NPD
• Aleksandr Rits

  • Optician
  • Brooklyn, NY
  • NPI 1245411511
  NPD Authorized official

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1538623376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022049",
            "telephone_number": "718-564-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPLORER OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "RITS",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-564-5484"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legend Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Herute-Amlak Extavour, LPN
• Raffaella Eydelman, RN
• Eye Care Vision Optometry P.C.
• Eye Physicians and Surgeons of Ny, PLLC
• Eye Surgery & Aesthetics PC

• Medical Specialty Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.