Roosevelt Field Vision Express, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

005243 Issued in NY

Legal business name

ROOSEVELT FIELD VISION EXPRESS, LLC

Doing business as

Ultimate Spectacle

Practice address

630 Old Country Rd Unit 493a
Garden City, NY 11530-3505

Phone

(917) 748-1570

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Leonid Vayner

Title

President

Phone

(917) 748-1570

Specialties & licenses 1

Addresses

Other names 1

• Ultimate Spectacle Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Michelle Pilipis, O.D

  • Optometrist
  • Brooklyn, NY
  • NPI 1598078800
  Medicare reassignment NPD
• Arthur Vayner, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1619927472
  Medicare reassignment NPD
• Dmitry Vayner

  • Optician
  • Brooklyn, NY
  • NPI 1003032418
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760908057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 OLD COUNTRY RD UNIT 493A",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303505",
            "telephone_number": "917-748-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OLD COUNTRY RD UNIT 493A",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303505",
            "telephone_number": "917-748-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT FIELD VISION EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-748-1570"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "005243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Spectacle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Giardelli MD PC
• Ronald Young MD PC
• Roosevelt Field Hearing Aid Center Inc
• Roosevelt Field Hearing Corporation
• Roosevelt Field Mall Dental PC
• Root and Renew Therapy LCSW PLLC
• Ashley Marie Rosado, M.S. ED, BCBA
• Danielle Nicole Rosario, ATC
• Eileen Rose
• Gillian Kara Rose

• Eyewear Supplier in Garden City, NY
• Providers in Garden City, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.