Intermed Optical, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0084861 Issued in NY

Legal business name

INTERMED OPTICAL, INC

Practice address

1849 86TH St
Brooklyn, NY 11214-3108

Phone

(718) 621-1624

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By 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

Mr. Lenny Temiryayev, O.D.NPI 1710055397

Title

President

Phone

(718) 621-1624

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lenny Temiryayev, O.D.

  • Optician
  • Brooklyn, NY
  • NPI 1710055397
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952479982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-621-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143108",
            "telephone_number": "718-621-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEMIRYAYEV",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-621-1624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "0084861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intermed Care PC
• Intermed Care PC
• Intermed Health Care Services, Inc.
• Intermed Medical Ny PC
• Intermed Medical PC
• Internal Medicine of New York PLLC
• International Center Foe the Disabled
• International Holistic Pharmacy Inc
• International Luxury Transportation (2eleven)
• International Medical Management Corp

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.