Active NPI
Optimum Optometry & Ophthalmic Dispensing Eyecare PLLC
- Eyewear Supplier
- Astoria, NY
National Provider Identifier
1902184641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 55008562
- Legal business name
- OPTIMUM OPTOMETRY & OPHTHALMIC DISPENSING EYECARE PLLC
- Practice address
- 3117 23Rd Ave
Astoria, NY 11105-2488 - Phone
- (718) 626-9400
- Fax
- (718) 626-9499
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alexandr Kozochonok
- Title
- Coowner
- Phone
- (917) 420-3824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 55008562 | NY | Primary |
Addresses
Primary practice location
3117 23Rd Ave
Astoria, NY 11105-2488
Mailing address
3117 23Rd Ave
Astoria, NY 11105-2488
Phone (718) 626-9400
Other names 1
- OPTIMUM EYE CARE
National Provider Directory
National Provider DirectoryLocations
3117 23rd Ave
Astoria, NY 11105
Phone (718) 626-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311897600000",
"number": "1902184641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 23RD AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052488",
"telephone_number": "718-626-9400",
"fax_number": "718-626-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3117 23RD AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052488",
"telephone_number": "718-626-9400",
"fax_number": "718-626-9499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM OPTOMETRY & OPHTHALMIC DISPENSING EYECARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A",
"authorized_official_last_name": "KOZOCHONOK",
"authorized_official_first_name": "ALEXANDR",
"authorized_official_title_or_position": "COOWNER",
"authorized_official_telephone_number": "19174203824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NY",
"license": "55008562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OPTIMUM EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.