Organization Active NPI

Vision Hub

  • Optician
  • Amityville, NY
National Provider Identifier
1770211435
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VISION HUB
Practice address
59 Merrick Rd Ste B
Amityville, NY 11701-3453
Phone
(631) 485-3636
Fax
(631) 485-3633
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Ilonna Takhalova
Title
President
Phone
(631) 485-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

59 Merrick Rd Ste B
Amityville, NY 11701-3453

Mailing address

59 Merrick Rd Ste B
Amityville, NY 11701-3453
Phone (631) 485-3636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1770211435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MERRICK RD STE B",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013453",
            "telephone_number": "631-485-3636",
            "fax_number": "631-485-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MERRICK RD STE B",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013453",
            "telephone_number": "631-485-3636",
            "fax_number": "631-485-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "TAKHALOVA",
        "authorized_official_first_name": "ILONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-485-3636"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.