589 Nyc Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

589 NYC OPTICAL LLC

Practice address

589 Sutter Ave
Brooklyn, NY 11207-4002

Phone

(347) 627-7896

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Phillip Muratov

Title

Owner

Phone

(917) 847-3457

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syeda Safura Hussaini

  • Optometrist
  • Staten Island, NY
  • NPI 1902457112
  Medicare reassignment Care Compare group NPD
• David Reyes, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1659495372
  Medicare reassignment Care Compare group NPD
• Alexander Zeldin, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1275167793
  Medicare reassignment Care Compare group NPD
• Semir Markisic, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1114579562
  Medicare reassignment NPD
• Albert Peralta, O.D

  • Optometrist
  • East Elmhurst, NY
  • NPI 1598201410
  NPD (past)

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1669109203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074002",
            "telephone_number": "347-627-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "589 NYC OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "MURATOV",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-847-3457"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 5TH Ave Eye Care, Inc.
• 5TH Avenue Dental Assoc LLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.