Indigo Optical Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

TUV004928 Issued in NY

Legal business name

INDIGO OPTICAL CENTER

Practice address

3241 Steinway St
Astoria, NY 11103-4075

Phone

(347) 808-9155

Fax

(347) 808-9156

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Alexa Pierre

Title

Receptionist

Phone

(347) 808-9155

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robert Yusupov

  • Optician
  • Astoria, NY
  • NPI 1366728396
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1750829933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034075",
            "telephone_number": "347-808-9155",
            "fax_number": "347-808-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034075",
            "telephone_number": "347-808-9155",
            "fax_number": "347-808-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "347-808-9155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "TUV004928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01092213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana Ifraimova, LIANA IFRAIMOVA
• In-Motion Physical Therapy PC
• In-Motion Physical Therapy,PC
• Yitzchak Inayev, PHARMD
• Incare Services
• Indigo Optical Inc.
• Individualized Family Care LLC
• Ellya Indradjaja, LMHC
• Indranil Gupta, Physician, PC
• Infectious Disease Associate, PLLC

• Durable Medical Equipment & Medical Supplies in Astoria, NY
• Providers in Astoria, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.