Advantage Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

005684 Issued in NY

Legal business name

ADVANTAGE VISION INC

Practice address

72 New Hyde Park Rd
Franklin Square, NY 11010-3638

Phone

(516) 616-5888

NPI assigned

Dec 17, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivy Sun, O.D.NPI 1255374203

Title

President

Phone

(516) 616-5888

Specialties & licenses 1

Addresses

Locations

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.

• Ivy J Sun, O.D.

  • Optometrist
  • Franklin Square, NY
  • NPI 1255374203
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922337153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103638",
            "telephone_number": "516-616-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NEW HYDE PARK RD",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103638",
            "telephone_number": "516-616-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-616-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.