Active NPI
La Optics Inc
- Optometrist
- Cedarhurst, NY
National Provider Identifier
1780293084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LA OPTICS INC
- Doing business as
- Vision Outlet
- Practice address
- 415 Central Ave Unit a
Cedarhurst, NY 11516-1930 - Phone
- (516) 303-2410
- NPI assigned
- Jul 23, 2020
- 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
- Alexander Yushuvayev
- Title
- Owner
- Phone
- (718) 578-8169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
415 Central Ave Unit a
Cedarhurst, NY 11516-1930
Mailing address
415 Central Ave Unit a
Cedarhurst, NY 11516-1930
Phone (516) 303-2410
Other names 1
- Vision Outlet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
415 Central Ave
Unit A
Cedarhurst, NY 11516
Phone (516) 303-2410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lawrence, NY
- NPI 1790820454
-
- Optician
- Cedarhurst, NY
- NPI 1225741606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674086400000",
"number": "1780293084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CENTRAL AVE UNIT A",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161930",
"telephone_number": "516-303-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CENTRAL AVE UNIT A",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161930",
"telephone_number": "516-303-2410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA OPTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-23",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A",
"authorized_official_last_name": "YUSHUVAYEV",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-578-8169"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Outlet",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.