NPIMap

Organization Active NPI

Ideal Optical Vision LLC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1811569205
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IDEAL OPTICAL VISION LLC
Practice address
7602 5TH Ave
Brooklyn, NY 11209-3304
Phone
(718) 238-2020
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Yevgeny VaynerNPI 1508053349
Title
Owner
Phone
(718) 288-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7602 5TH Ave
Brooklyn, NY 11209-3304

Mailing address

7602 5TH Ave
Brooklyn, NY 11209-3304
Phone (718) 238-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1811569205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "718-238-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093304",
            "telephone_number": "718-238-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL OPTICAL VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "YEVGENY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-288-6830"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.