Hall of Frames Opthalmic Dispensing PC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007474 Issued in NY

Legal business name

HALL OF FRAMES OPTHALMIC DISPENSING PC

Practice address

1550 University Ave
Bronx, NY 10452-1503

Phone

(917) 819-3239

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Aleksandr ShimunovNPI 1003162280

Title

Optician

Phone

(917) 204-6655

Specialties & licenses 1

Addresses

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.

• Aleksandr Shimunov, OPTITION

  • Technician/Technologist
  • Bronx, NY
  • NPI 1003162280
  Medicare reassignment NPD Authorized official
• Jade R Gormady, O.D.

  • Optometrist
  • New York, NY
  • NPI 1649551391
  Medicare reassignment NPD

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1619226784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 69TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653250",
            "telephone_number": "917-204-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521503",
            "telephone_number": "917-819-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL OF FRAMES OPTHALMIC DISPENSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "SHIMUNOV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "917-204-6655"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore M Hale, M.D.
• Harvey L. Halem, O.D.
• Evelyn Susan Haley, PT, DPT
• Nicole D Haley, PA
• Justin Halim, MD
• Abigail Catherine Hall, PA-C
• Andre Germaine Hall
• Aneeka Hall
• Arthur Hall, M.D.
• Cecile Elaine Hall, OCCUPATIONAL THERAPY

• Optician in Bronx, NY
• Providers in Bronx, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.