NPIMap

Organization Active NPI

Jewel Optical Inc.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1740359579
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004333-1 Issued in NY
Legal business name
JEWEL OPTICAL INC.
Practice address
70 51 Parsons Blvd
Flushing, NY 11365
Phone
(718) 380-7788
Fax
(718) 380-7788
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
David PazosNPI 1669625620
Title
Optician
Phone
(718) 380-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV004333-1 NY Primary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 008847-1 NY

Addresses

Primary practice location

70 51 Parsons Blvd
Flushing, NY 11365

Mailing address

70 51 Parsons Blvd
Flushing, NY 11365
Phone (718) 380-7788

Other identifiers 1

IdentifierTypeStateIssuer
01857749MedicaidNY

National Provider Directory

National Provider Directory

Locations

7051 Parsons Blvd
Fresh Meadows, NY 11365
Phone (718) 380-7788

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1740359579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 51 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-380-7788",
            "fax_number": "718-380-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 51 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-380-7788",
            "fax_number": "718-380-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "PAZOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-380-7788"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004333-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008847-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857749",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.