Bbo Holdings, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006709-1 Issued in NY

Legal business name

BBO HOLDINGS, INC

Practice address

16524 Baisley Blvd
Jamaica, NY 11434-2517

Phone

(718) 276-0055

Fax

(718) 276-5059

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Boris Mulokandov, OPTICIAN

Title

President

Phone

(718) 276-0055

Specialties & licenses 1

Addresses

Other names 1

• Sterling Optical Doing business as

Locations

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1972997617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16524 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342517",
            "telephone_number": "718-276-0055",
            "fax_number": "718-276-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16524 BAISLEY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342517",
            "telephone_number": "718-276-0055",
            "fax_number": "718-276-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBO HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MULOKANDOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-276-0055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006709-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Jamaica, NY
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• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.