Organization Active NPI

Alpha Specs Inc

Doing business as Blvd Optical

  • Optometrist
  • Howard Beach, NY
National Provider Identifier
1720819618
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALPHA SPECS INC
Doing business as
Blvd Optical
Practice address
164-42 Cross Bay Blvd
Howard Beach, NY 11414
Phone
(347) 233-2620
Fax
(917) 900-1925
NPI assigned
Aug 12, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mr. Arkadiy Israel
Title
Owner
Phone
(347) 233-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

164-42 Cross Bay Blvd
Howard Beach, NY 11414

Mailing address

164-42 Cross Bay Blvd
Howard Beach, NY 11414
Phone (347) 233-2620

Other names 1

  • Blvd Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904004071 NY Part B Supplier - Clinic/Group Practice 4284174350 Receives reassigned benefits from 2 practitioners
Practice locations: Howard Beach, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1720819618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-42 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "347-233-2620",
            "fax_number": "917-900-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164-42 CROSS BAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "11414",
            "telephone_number": "347-233-2620",
            "fax_number": "917-900-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA SPECS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-233-2620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blvd Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blvd Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.