Superior Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

005407-1 Issued in NY

Legal business name

SUPERIOR VISION CENTER

Practice address

748 E Tremont Ave
Bronx, NY 10457-5106

Phone

(718) 294-1083

Fax

(718) 294-1370

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo Liz

Title

President

Phone

(718) 295-1083

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jazel Liz

  • Optician
  • Bronx, NY
  • NPI 1477871556
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1851587174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575106",
            "telephone_number": "718-294-1083",
            "fax_number": "718-294-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575106",
            "telephone_number": "718-294-1083",
            "fax_number": "718-294-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "LIZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-295-1083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005407-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evans Sunu, RN
• Joyce Sunu, RN
• Super Class Radio Dispatch Inc
• Super Optical Inc.
• Superior Dental
• Supply Needs Co. Corp.
• Alan Supraner, PHD
• Supreme Medical Supplies Inc
• Supreme Pharmacy Inc. (Queen Mary Pharmacy)
• Supreme Vision Center Inc (Fabulous Optical)

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.