Eagles Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T002836-1 Issued in NY

Legal business name

EAGLES OPTICAL INC

Practice address

4128 Main St
#7
Flushing, NY 11355-3177

Phone

(718) 358-8518

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Yeung

Title

Manager

Phone

(718) 358-8518

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1992003214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 MAIN ST",
            "address_2": "#7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 MAIN ST",
            "address_2": "#7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553177",
            "telephone_number": "718-358-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-358-8518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T002836-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.