Allon Vision Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

006665 Issued in NY

Legal business name

ALLON VISION INC.

Practice address

24812 Northern Blvd
1D
Little Neck, NY 11362-1207

Phone

(718) 229-6780

NPI assigned

Jan 11, 2008

Last updated

Jun 10, 2011By 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

Dr. Allon Nejatheim, O.D.NPI 1326092982

Title

President/Optometrist

Phone

(718) 229-6780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Allon Vision Inc.

  dba Columbia Opticians

  • Optometrist
  • New York, NY
  • NPI 1417409202

  O20050511001051

  Same enrollment

Locations

Practitioners 1

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.

• Allon Nejatheim, O.D.

  • Optometrist
  • New York, NY
  • NPI 1326092982
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1588840375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD",
            "address_2": "1D",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621206",
            "telephone_number": "718-229-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24812 NORTHERN BLVD",
            "address_2": "1D",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621207",
            "telephone_number": "718-229-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLON VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "NEJATHEIM",
        "authorized_official_first_name": "ALLON",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "718-229-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02641743",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.