Organization Active NPI

Ahfk Optical Inc.

Doing business as Optic Designs

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1861548919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006080 Issued in FL
Legal business name
AHFK OPTICAL INC.
Doing business as
Optic Designs
Practice address
1416 Rockaway Pkwy
Brooklyn, NY 11236-2322
Phone
(718) 257-2339
Fax
(718) 272-7171
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dave Deonandan
Title
Manager
Phone
(718) 257-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006080 FL Primary

Addresses

Primary practice location

1416 Rockaway Pkwy
Brooklyn, NY 11236-2322

Mailing address

1416 Rockaway Pkwy
Brooklyn, NY 11236-2322
Phone (718) 257-2339

Other identifiers 1

IdentifierTypeStateIssuer
02387731MedicaidNY

Other names 1

  • OPTIC DESIGNS Doing business as

National Provider Directory

National Provider Directory

Locations

1416 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-2339

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861548919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362322",
            "telephone_number": "718-257-2339",
            "fax_number": "718-272-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362322",
            "telephone_number": "718-257-2339",
            "fax_number": "718-272-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHFK OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEONANDAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-257-2339"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TUV006080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02387731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIC DESIGNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.