My Optical Brooklyn Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MY OPTICAL BROOKLYN INC.

Practice address

922 Pennsylvania Ave
Brooklyn, NY 11207-8402

Phone

(718) 240-9401

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marat Shlimov, OPTICIANNPI 1013985431

Title

President and Optician

Phone

(718) 240-9401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Alexandrov, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1396807889
  Medicare reassignment NPD
• Marat Shlimov

  • Optician
  • Brooklyn, NY
  • NPI 1013985431
  NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1841331576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078402",
            "telephone_number": "718-240-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 PENNSYLVANIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112078402",
            "telephone_number": "718-240-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OPTICAL BROOKLYN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SHLIMOV",
        "authorized_official_first_name": "MARAT",
        "authorized_official_title_or_position": "PRESIDENT AND OPTICIAN",
        "authorized_official_telephone_number": "718-240-9401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02859938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• My Meds Pharmacy Inc
• My Movement Physical Therapy PC
• My Optician Inc.
• My Optometry PC
• My Psychotherapy L.C.S.W., P.C.
• My Skyn Company LLC
• My Smiles Dental PC

• 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 May 2, 2008; 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.