Organization Active NPI

Lens Lab of Junction Boulevard Inc

Doing business as Lens Lab Express

  • Optometrist
  • Corona, NY
National Provider Identifier
1760534549
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LENS LAB OF JUNCTION BOULEVARD INC
Doing business as
lens lab express
Practice address
3740 Junction Blvd
Corona, NY 11368-1741
Phone
(718) 507-8114
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Rosana McDowell
Title
Owner
Phone
(718) 507-8114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3740 Junction Blvd
Corona, NY 11368-1741

Mailing address

3740 Junction Blvd
Corona, NY 11368-1741
Phone (718) 507-8114

Other names 1

  • lens lab express Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407001605 NY Part B Supplier - Clinic/Group Practice 4688003908 Receives reassigned benefits from 3 practitioners
Practice locations: Corona, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1760534549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681741",
            "telephone_number": "718-507-8114",
            "fax_number": "718-507-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681741",
            "telephone_number": "718-507-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS LAB OF JUNCTION BOULEVARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-507-8114"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lens Lab Express",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lens lab express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.