NPIMap

Organization Active NPI

Cosmos Total Optometry Care PLLC

Doing business as Cosmos Eye Care

  • Optometrist
  • Jackson Heights, NY
National Provider Identifier
1902044829
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006061VUT Issued in NY
Legal business name
COSMOS TOTAL OPTOMETRY CARE PLLC
Doing business as
Cosmos Eye Care
Practice address
90-01 Roosevelt Avenue
Jackson Heights, NY 11372
Phone
(718) 458-8500
Fax
(718) 424-3366
NPI assigned
Jan 30, 2009
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Joanne Econopouly, ODNPI 1609991645
Title
OD, Owner
Phone
(718) 458-8500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VUT006061 NY
Eyewear Supplier 332H00000X VUT006061 NY
Optometrist 152W00000X 006061VUT NY Primary

Addresses

Primary practice location

90-01 Roosevelt Avenue
Jackson Heights, NY 11372

Mailing address

90-01 Roosevelt Avenue
Jackson Heights, NY 11372

Other identifiers 1

IdentifierTypeStateIssuer
02220473MedicaidNY

Other names 1

  • Cosmos Eye Care Doing business as

National Provider Directory

National Provider Directory

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1902044829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90-01 ROOSEVELT AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-01 ROOSEVELT AVENUE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-458-8500",
            "fax_number": "718-424-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOS TOTAL OPTOMETRY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "ECONOPOULY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OD, OWNER",
        "authorized_official_telephone_number": "718-458-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "VUT006061",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT006061",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006061VUT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02220473",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmos Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.