Organization Active NPI

Michelle & Olivia Enterprise

Doing business as dabo eyewear

  • Eyewear Supplier
  • Flushing, NY
National Provider Identifier
1972759827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MICHELLE & OLIVIA ENTERPRISE
Doing business as
dabo eyewear
Practice address
4101 Kissena Blvd
Flushing, NY 11355-3138
Phone
(718) 321-1212
Fax
(718) 321-3276
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Daniel K Kung
Title
Owner
Phone
(718) 321-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NY Primary

Addresses

Primary practice location

4101 Kissena Blvd
Flushing, NY 11355-3138

Mailing address

4101 Kissena Blvd
Flushing, NY 11355-3138
Phone (718) 321-1212

Other identifiers 1

IdentifierTypeStateIssuer
02263514MedicaidNY

Other names 1

  • dabo eyewear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972759827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-321-1212",
            "fax_number": "718-321-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553138",
            "telephone_number": "718-321-1212",
            "fax_number": "718-321-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE & OLIVIA ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02263514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dabo eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • 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.