Smokey Eyes Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

006195-1 Issued in NY

Legal business name

SMOKEY EYES OPTICAL

Doing business as

sterling optical

Practice address

423 Fulton St
Brooklyn, NY 11201-5121

Phone

(718) 522-5656

Fax

(718) 522-6444

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Inna Medow, OPTICIAN

Title

President

Phone

(718) 522-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• sterling optical Doing business as

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821118829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015121",
            "telephone_number": "718-522-5656",
            "fax_number": "718-522-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015121",
            "telephone_number": "718-522-5656",
            "fax_number": "718-522-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKEY EYES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDOW",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-522-5656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006195-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02491078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sterling optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.