Organization Active NPI

Premier Vision Consultants, LLC

  • Clinic/Center
  • Flushing, NY
National Provider Identifier
1881971729
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
TUV7306 Issued in NY
Legal business name
PREMIER VISION CONSULTANTS, LLC
Doing business as
nuEyes
Practice address
14008 Sanford Ave
1St Floor
Flushing, NY 11355-2683
Phone
(917) 721-6751
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Diana Ma, ODNPI 1689839110
Title
Optometrist/President
Phone
(917) 721-6751

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
Clinic/Center 261Q00000X TUV7306 NY Primary

Addresses

Primary practice location

14008 Sanford Ave
1St Floor
Flushing, NY 11355-2683

Mailing address

14008 Sanford Ave
1St Floor
Flushing, NY 11355-2683

Other names 1

  • nuEyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120808000884 NY Part B Supplier - Clinic/Group Practice 3779739677 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14008 Sanford Ave
Ste 1
Flushing, NY 11355
Phone (718) 353-3211

Practitioners & affiliated clinicians

Practitioners 2

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": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1881971729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE",
            "address_2": "1ST FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552683",
            "telephone_number": "917-721-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "917-721-6751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "TUV7306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nuEyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.