Active NPI
Ejmvkk Associates Inc
- Optometrist
- Ozone Park, NY
National Provider Identifier
1992189153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007143
- Legal business name
- EJMVKK ASSOCIATES INC
- Practice address
- 10222 Atlantic Ave
Ozone Park, NY 11416-1739 - Phone
- (718) 846-1144
- Fax
- (347) 772-3032
- NPI assigned
- Jul 16, 2015
- 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
- Vincente A Calderon, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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.