Stellar Vision Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007425 Issued in NY

Legal business name

STELLAR VISION OPTOMETRY, P.C.

Practice address

8518 Queens Blvd FL 1
Elmhurst, NY 11373-4249

Phone

(718) 303-0393

Fax

(718) 303-0162

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Marie McHugh, ODNPI 1083849954

Title

Owner/Optometrist

Phone

(718) 303-0393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly Marie McHugh, O.D.

  • Optometrist
  • New York, NY
  • NPI 1083849954
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1750876298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734249",
            "telephone_number": "718-303-0393",
            "fax_number": "718-303-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734249",
            "telephone_number": "718-303-0393",
            "fax_number": "718-303-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR VISION OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "718-303-0393",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Rachel Stein, PSY.D.
• Marjorie M Stein, M.D.
• Gail Steinline, CASAC
• Stellar Physical & Occupational Therapy & Acupuncture, PLLC
• Stellar Physical & Occupational Therapy & Acupuncture, PLLC
• Aaron Saul Stern, MD
• Steve Shay
• Steven Tam, DMD, PC
• Jhensie Alexa Stevens, NP
• Tamika Stewart

• Optometrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.