Glen Oaks Family Vision Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

006252 Issued in NY

Legal business name

GLEN OAKS FAMILY VISION CORP

Practice address

25913 Union Tpke
Glen Oaks, NY 11004-1248

Phone

(718) 347-7470

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Vladimir PoleyNPI 1285644088

Title

Officer

Phone

(718) 347-7470

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Vladimir Poley, O.D.

  • Optometrist
  • Glen Oaks, NY
  • NPI 1285644088
  Medicare reassignment NPD Authorized official
• Flora Levine, OD

  • Optometrist
  • Glen Oaks, NY
  • NPI 1730222704
  Medicare reassignment NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1780713602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25913 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041248",
            "telephone_number": "718-347-7470",
            "fax_number": "718-347-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25913 UNION TPKE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041248",
            "telephone_number": "718-347-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN OAKS FAMILY VISION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "POLEY",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-347-7470"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02282960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada Gibbs
• Alison Gilbert, PHD
• Emma Gill, MD
• Cecilia Elena Gimenez, MD
• Glen Oak Medical Care PLLC
• Glen Oaks Internal Medicine PC
• Glen Oaks Medical Associate PC
• Rosalyn Glicklich
• Jennie Goldstein, MD
• Lenore S Goldstein, RN

• Optometrist in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.