Advanced Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ADVANCED EYECARE INC

Practice address

115 7TH Ave
Brooklyn, NY 11215-1301

Phone

(718) 398-2020

Fax

(718) 230-0024

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Izick KhanimovNPI 1013506948

Title

Optician

Phone

(718) 398-2020

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Izick Khanimov, OPTICIAN

  • Ophthalmic Assistant
  • Brooklyn, NY
  • NPI 1013506948
  NPD Authorized official

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1700599784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151301",
            "telephone_number": "718-398-2020",
            "fax_number": "718-230-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151301",
            "telephone_number": "718-398-2020",
            "fax_number": "718-230-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "KHANIMOV",
        "authorized_official_first_name": "IZICK",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-398-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DIRECT",
            "affiliation": "N",
            "address_1": "115 7th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112151301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Jan 4, 2023; 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.