Your Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007320 Issued in NY

Legal business name

YOUR OPTICAL

Practice address

2849 W 8TH St
Brooklyn, NY 11224-3604

Phone

(718) 265-1100

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marat Shlimov

Title

Optician

Phone

(718) 265-1100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1700955382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243604",
            "telephone_number": "718-265-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243604",
            "telephone_number": "718-265-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SHLIMOV",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "17182651100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02757495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.