786 United Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006453 Issued in NC

Legal business name

786 UNITED INC.

Doing business as

NEW CLEAR VISION OPTICAL

Practice address

11104 Liberty Ave
South Richmond Hill, NY 11419-1812

Phone

(718) 641-3450

Fax

(718) 641-3792

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Afzal Yakub

Title

Manager

Phone

(718) 641-3450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEW CLEAR VISION OPTICAL Doing business as

Locations

Practitioners 1

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

• Irma Liliana Lopez, O.D.

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1679791065
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679629711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-3450",
            "fax_number": "718-641-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-3450",
            "fax_number": "718-641-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "786 UNITED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAKUB",
        "authorized_official_first_name": "AFZAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-641-3450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "TUV006453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072957",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW CLEAR VISION OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 12116 Liberty Avenue Drugs Inc.
• 125 Liberty Medical PLLC
• A & J Pharmacy and Surgical Supplies Inc
• Abihas International Corp
• Winston Abraham, RPH
• Mehar Afshan Ahmad, RPH
• Nazir Ahmad

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, 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 22, 2020; 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.