Nova Eyewear LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NOVA EYEWEAR LLC

Practice address

4832 Clearview Expy
Oakland Gardens, NY 11364-1040

Phone

(917) 378-2728

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Meekyoung KimNPI 1659136216

Title

President

Phone

(917) 378-2728

Specialties & licenses 1

Addresses

Practitioners 1

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

• Meekyoung Kim

  • Eyewear Supplier
  • Oakland GDNS, NY
  • NPI 1659136216
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1831958941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 CLEARVIEW EXPY",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641040",
            "telephone_number": "917-378-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 CLEARVIEW EXPY",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641040",
            "telephone_number": "917-378-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MEEKYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-378-2728"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.