Michelle'S Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006580 Issued in NY

Legal business name

MICHELLE'S OPTICAL INC

Doing business as

Dabo Eyewear

Practice address

4101 Kissena Blvd
Flushing, NY 11355-3138

Phone

(718) 321-1212

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Kung

Title

Owner

Phone

(718) 321-1212

Specialties & licenses 1

Addresses

Other names 1

• Dabo Eyewear Doing business as

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1649545492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-321-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-321-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE'S OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dabo Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Li MD PLLC
• Michael Li, M.D., PH.D., PLLC
• Michael Trimba MD PC
• Larry Michaels, B.S.
• Michelle & Olivia Enterprise
• Ljubisa Micic, M.D.
• Midas Chiropractic P.C.
• Bonnie L Migden, M.A., CCC-SLP
• Mikhail Medical PLLC
• Mikhail Yakubov, D.O., PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.