Lexington Star Specs, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006679 Issued in NY

Legal business name

LEXINGTON STAR SPECS, INC

Practice address

681 Lexington Ave
New York, NY 10022-2625

Phone

(212) 317-0067

Fax

(212) 317-9008

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mina Kim, O.D.

Title

Optometrist

Phone

(718) 317-0067

Specialties & licenses 1

Addresses

Other names 1

• cohen's fashion optical Doing business as

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1952591612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222625",
            "telephone_number": "212-317-0067",
            "fax_number": "212-317-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222625",
            "telephone_number": "212-317-0067",
            "fax_number": "212-317-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON STAR SPECS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-317-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cohen's fashion optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.