Organization Active NPI

Lens Express Optical, Inc

  • Eyewear Supplier
  • Kew Gardens, NY
National Provider Identifier
1942444914
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
007438 Issued in NY
Legal business name
LENS EXPRESS OPTICAL, INC
Practice address
12430 Queens Blvd
Kew Gardens, NY 11415-1501
Phone
(718) 261-2344
Fax
(718) 261-3356
NPI assigned
Apr 21, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Sveltana Aminova, OPTICIANNPI 1043454010
Title
Owner
Phone
(718) 261-2344

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 007438 NY Primary

Addresses

Primary practice location

12430 Queens Blvd
Kew Gardens, NY 11415-1501

Mailing address

12430 Queens Blvd
Kew Gardens, NY 11415-1501
Phone (718) 261-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091029000161 NY Part B Supplier - Clinic/Group Practice 6507903283 Receives reassigned benefits from 2 practitioners
Practice locations: Kew Gardens, NY

National Provider Directory

National Provider Directory

Locations

12430 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 261-2344

Practitioners & affiliated clinicians

Practitioners 3

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": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1942444914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 QUEENS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151501",
            "telephone_number": "718-261-2344",
            "fax_number": "718-261-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 QUEENS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151501",
            "telephone_number": "718-261-2344",
            "fax_number": "718-261-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENS EXPRESS OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "AMINOVA",
        "authorized_official_first_name": "SVELTANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-261-2344",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "007438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.