Active NPI
Michelle & Olivia Enterprise
Doing business as dabo eyewear
- Eyewear Supplier
- Flushing, NY
National Provider Identifier
1972759827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02263514 | Medicaid | NY |
Other names 1
- dabo eyewear
National Provider Directory
National Provider DirectoryNPI 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.