Eyeland Opticians Inc

Primary specialty

OcularistTaxonomy code 156FX1700X

License

009414-1 Issued in NY

Legal business name

EYELAND OPTICIANS INC

Practice address

111 Hempstead Tpke
Inside NWL
West Hempstead, NY 11552-2155

Phone

(516) 493-9323

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Boris Takhalov, OPTICIANNPI 1841535218

Title

Owner

Phone

(516) 493-9323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• National optical Doing business as

Locations

Practitioners 1

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

• Boris Takhalov, OPTICIAN

  • Ocularist
  • West Hempstead, NY
  • NPI 1841535218
  NPD Authorized official

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1851637185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503811",
            "telephone_number": "516-493-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HEMPSTEAD TPKE",
            "address_2": "INSIDE NWL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522155",
            "telephone_number": "516-493-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELAND OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "TAKHALOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-493-9323",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": "NY",
            "license": "009414-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03522401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyeland Opticians Inc
• Stacy Ezor, MS ED.
• Lauren Faleck, LAC, LMT
• Jennifer Ann Faller, SLP
• Michael Farella, LMT
• Gina Fassino, COTA/L

• Technician/Technologist in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.