A&S Liberty Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007311 Issued in NY

Legal business name

A&S LIBERTY INC

Doing business as

Lensa Optique

Practice address

1208 Liberty Ave
Brooklyn, NY 11208-3412

Phone

(347) 627-8883

Fax

(346) 627-8885

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung K Park, OPTICIANNPI 1417302621

Title

Owner/Optician

Phone

(347) 627-8883

Specialties & licenses 1

Addresses

Other names 1

• LENSA OPTIQUE Doing business as

Practitioners 1

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.

• Jung Park

  • Optician
  • South Richmond Hill, NY
  • NPI 1417302621
  NPD Authorized official

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730605585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083412",
            "telephone_number": "347-627-8883",
            "fax_number": "346-627-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083412",
            "telephone_number": "347-627-8883",
            "fax_number": "346-627-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&S LIBERTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "347-627-8883",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENSA OPTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Brooklyn, NY
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• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.