M&K Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NY TUV005437-3 Issued in NY

Legal business name

M&K OPTICAL INC.

Doing business as

Eye Supply of Bayside

Practice address

3925 Bell Blvd
Bayside, NY 11361-2060

Phone

(718) 279-2020

Fax

(718) 279-3702

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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

Mr. Mark Weintraub

Title

Owner

Phone

(718) 279-2020

Specialties & licenses 1

Addresses

Other names 1

• Eye Supply of Bayside Doing business as

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588794093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612060",
            "telephone_number": "718-279-2020",
            "fax_number": "718-279-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612060",
            "telephone_number": "718-279-2020",
            "fax_number": "718-279-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&K OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-279-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY TUV005437-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Supply of Bayside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennie Lupo, DDS
• Christine Lynch
• Hannah Lynch
• Vivian S. Lynes
• Jade Elizabeth Lyons
• Carrie Ma, OTR/L
• Chao-Chuan Ma, M.S. ED
• Annalisa Macaluso
• John H. Macrone, D.C.
• Main Street Radiology at Bayside LLC

• Optometrist in Bayside, NY
• Providers in Bayside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.