Eyeworld Optical QCM

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEWORLD OPTICAL QCM

Practice address

9015 Queens Blvd FL 1
Elmhurst, NY 11373-4900

Phone

(718) 366-8345

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Laura Basile

Title

Manager of Dr. Training and Credent

Phone

(516) 243-8708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1972180214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD FL 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-366-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWORLD OPTICAL QCM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER OF DR. TRAINING AND CREDENT",
        "authorized_official_telephone_number": "516-243-8708"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Evanson, MSN, FNP-BC, APRN
• Evergreen Enrichment Center LLC
• Everyoung Pharmacy Inc
• Ewz Optical Corp
• Eyes & Optics Elmhurst Inc
• Ez Orthodontics PLLC
• Rina Fabian, LCSW
• Marilyn Fabio, PA
• Walter Augusto Fabris Moraes, MD
• Nicole Faello

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.