NPIMap

Organization Active NPI

20/20 Optical Boutique

  • Eyewear Supplier
  • Brooklyn, NY
National Provider Identifier
1568637635
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
008775-1 Issued in NY
Legal business name
20/20 OPTICAL BOUTIQUE
Practice address
1546 Pitkin Ave
Brooklyn, NY 11212-4539
Phone
(718) 342-7002
Fax
(718) 342-7004
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mohammad Qureshi
Title
Owner
Phone
(718) 342-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 008775-1 NY Primary

Addresses

Primary practice location

1546 Pitkin Ave
Brooklyn, NY 11212-4539

Mailing address

1546 Pitkin Ave
Brooklyn, NY 11212-4539
Phone (718) 342-7002

National Provider Directory

National Provider Directory
Tax ID family
2020 Optical Boutique2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1546 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 342-7002

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1568637635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124539",
            "telephone_number": "718-342-7002",
            "fax_number": "718-342-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124539",
            "telephone_number": "718-342-7002",
            "fax_number": "718-342-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 OPTICAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-342-7002"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "008775-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.