NPIMap

Organization Active NPI

Family Optical Shoppe Corp

  • Optician
  • Bronx, NY
National Provider Identifier
1912945452
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008120-1 Issued in NY
Legal business name
FAMILY OPTICAL SHOPPE CORP
Practice address
1594 Westchester Ave
Bronx, NY 10472-2919
Phone
(718) 861-6009
Fax
(718) 861-6679
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Izabella Gugilev-Calik, OPTICIANNPI 1538362900
Title
President
Phone
(718) 861-6009

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 008120-1 NY Primary

Addresses

Primary practice location

1594 Westchester Ave
Bronx, NY 10472-2919

Mailing address

1594 Westchester Ave
Bronx, NY 10472-2919
Phone (718) 861-6009

Other identifiers 5

IdentifierTypeStateIssuer
4C9879OtherNYHEALTHNET
02529702MedicaidNY
27909OtherNYSPECTERA
49756OtherNYDAVIS VISION
906025OtherNYBLOCK VISION

National Provider Directory

National Provider Directory

Locations

1594 Westchester Ave
Bronx, NY 10472
Phone (718) 861-6009

Practitioners & affiliated clinicians

Practitioners 9

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1912945452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722919",
            "telephone_number": "718-861-6009",
            "fax_number": "718-861-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722919",
            "telephone_number": "718-861-6009",
            "fax_number": "718-861-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTICAL SHOPPE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "GUGILEV-CALIK",
        "authorized_official_first_name": "IZABELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-861-6009",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008120-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C9879",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02529702",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "27909",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49756",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "906025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.