Organization Active NPI

Boss Vision LLC

  • Optometrist
  • New York, NY
National Provider Identifier
1639826076
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BOSS VISION LLC
Practice address
111 Mott St
New York, NY 10013-4629
Phone
(646) 590-3177
NPI assigned
Mar 6, 2022
Last updated
Mar 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Junjie Chen
Title
Manager
Phone
(646) 590-3177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Optician 156FX1800X NU

Addresses

Primary practice location

111 Mott St
New York, NY 10013-4629

Mailing address

111 Mott St
New York, NY 10013-4629
Phone (646) 590-3177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1639826076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134629",
            "telephone_number": "646-590-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134629",
            "telephone_number": "646-590-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JUNJIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-590-3177"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.