Organization Active NPI

Woodhaven Optical LTD

  • Eyewear Supplier
  • Ozone Park, NY
National Provider Identifier
1902569072
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOODHAVEN OPTICAL LTD
Practice address
9502 101St Ave
Ozone Park, NY 11416-2518
Phone
(347) 238-1854
Fax
(347) 238-1656
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Mr. David Nazginov, OPTICIANNPI 1932615911
Title
President
Phone
(347) 285-9661

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9502 101St Ave
Ozone Park, NY 11416-2518

Mailing address

9502 101St Ave
Ozone Park, NY 11416-2518
Phone (347) 238-1854

National Provider Directory

National Provider Directory

Locations

9502 101st Ave
Ozone Park, NY 11416
Phone (347) 238-1854

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": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1902569072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "347-238-1854",
            "fax_number": "347-238-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162518",
            "telephone_number": "347-238-1854",
            "fax_number": "347-238-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "NAZGINOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-285-9661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.