MK Vision Center I, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MK VISION CENTER I, INC

Practice address

7010 Austin St Ste 2
Forest Hills, NY 11375-4763

Phone

(718) 575-8288

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Kaleena Ma

Title

Owner

Phone

(718) 575-8288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MK VISION CENTER, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Jet Thanetr Ruttanasee, O.D.

  • Optometrist
  • Forest Hills, NY
  • NPI 1396931689
  Medicare reassignment NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1760095384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 AUSTIN ST STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 AUSTIN ST STE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754763",
            "telephone_number": "718-575-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK VISION CENTER I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KALEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-575-8288"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03086528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK VISION CENTER, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stella Mizrakhi, LCSW
• MJM Medicine PLLC
• MK Ei Services Inc.
• MK Optometrist PC
• MK Vision Center
• MK Vision Center LLC
• MLG Medical , P.C.
• Monika Ewa Mlynarczyk, PT
• MM Medical Service PC
• MNB Medical PC

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.