NPIMap

Organization Active NPI

Corona Optometry PC

Doing business as Corona Vision

  • Optometrist
  • Corona, NY
National Provider Identifier
1760817191
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CORONA OPTOMETRY PC
Doing business as
Corona Vision
Practice address
3781 Junction Blvd
Corona, NY 11368-1740
Phone
(718) 446-1333
Fax
(718) 446-1336
NPI assigned
Sep 4, 2013
Last updated
Oct 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Pezhman Hourizadeh, O.D.NPI 1205851706
Title
Owner/Practitioner
Phone
(718) 446-1333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NY Primary

Addresses

Primary practice location

3781 Junction Blvd
Corona, NY 11368-1740

Mailing address

10306 Roosevelt Ave
Corona, NY 11368-2330
Phone (718) 424-1333

Other names 1

  • CORONA VISION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1760817191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682330",
            "telephone_number": "718-424-1333",
            "fax_number": "718-424-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681740",
            "telephone_number": "718-446-1333",
            "fax_number": "718-446-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "HOURIZADEH",
        "authorized_official_first_name": "PEZHMAN",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "718-446-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORONA VISION",
            "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 Oct 11, 2013; 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.