NPIMap

Organization Active NPI

Ejmvkk Associates Inc

Doing business as Pearle Vision

  • Optometrist
  • Ozone Park, NY
National Provider Identifier
1992189153
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007143 Issued in NY
Legal business name
EJMVKK ASSOCIATES INC
Doing business as
Pearle Vision
Practice address
10222 Atlantic Ave
Ozone Park, NY 11416-1739
Phone
(718) 846-1144
Fax
(347) 772-3032
NPI assigned
Jul 16, 2015
Last updated
Jul 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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

Authorized official

Name
Vincente A Calderon, ODNPI 1457542375
Title
Optometrist
Phone
(718) 749-7027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 007143 NY Primary

Addresses

Primary practice location

10222 Atlantic Ave
Ozone Park, NY 11416-1739

Mailing address

10222 Atlantic Ave
Ozone Park, NY 11416-1739
Phone (718) 846-1144

Other names 1

  • Pearle Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202000027 NY Part B Supplier - Clinic/Group Practice 4385037019 Receives reassigned benefits from 24 practitioners
Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1992189153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161739",
            "telephone_number": "718-846-1144",
            "fax_number": "347-772-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161739",
            "telephone_number": "718-846-1144",
            "fax_number": "347-772-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJMVKK ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "VINCENTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-749-7027",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.