Organization Active NPI

LJ Optical Inc.

  • Preferred Provider Organization
  • Jackson Heights, NY
National Provider Identifier
1588893572
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LJ OPTICAL INC.
Practice address
9557 Roosevelt Ave FL 1
Jackson Heights, NY 11372-8028
Phone
(718) 672-3115
Fax
(718) 672-3115
NPI assigned
Jul 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Javier Lope
Title
President
Phone
(718) 864-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

9557 Roosevelt Ave FL 1
Jackson Heights, NY 11372-8028

Mailing address

551 Meryl Dr
Westbury, NY 11590-5311
Phone (718) 672-3115

National Provider Directory

National Provider Directory

Locations

9557 Roosevelt Ave
#1
Jackson Heights, NY 11372
Phone (718) 672-3115

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1588893572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MERYL DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905311",
            "telephone_number": "718-672-3115",
            "fax_number": "718-672-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9557 ROOSEVELT AVE FL 1",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728028",
            "telephone_number": "718-672-3115",
            "fax_number": "718-672-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "LOPE",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-864-2576"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

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