Active NPI
Vision Hub
- Optician
- Amityville, NY
National Provider Identifier
1770211435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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 DirectoryNPI 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.