NPIMap

Organization Active NPI

Galleria Optique

  • Optometrist
  • Little Neck, NY
National Provider Identifier
1871519496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006830 Issued in NY
Legal business name
GALLERIA OPTIQUE
Practice address
25313 Northern Blvd
Little Neck, NY 11362-1458
Phone
(718) 352-4900
Fax
(718) 352-5087
NPI assigned
Jul 15, 2006
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
Jiyoung Yoon, O.DNPI 1568482289
Title
Doctor
Phone
(718) 352-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006830 NY Primary

Addresses

Primary practice location

25313 Northern Blvd
Little Neck, NY 11362-1458

Mailing address

25313 Northern Blvd
Little Neck, NY 11362-1458
Phone (718) 352-4900

National Provider Directory

National Provider Directory

Locations

25313 Northern Blvd
Little Neck, NY 11362
Phone (718) 352-4900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871519496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25313 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621458",
            "telephone_number": "718-352-4900",
            "fax_number": "718-352-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25313 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621458",
            "telephone_number": "718-352-4900",
            "fax_number": "718-352-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA OPTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JIYOUNG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-352-4900",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, 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.