Organization Active NPI

Ewz Optical Corp

  • Eyewear Supplier
  • Elmhurst, NY
National Provider Identifier
1992261291
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EWZ OPTICAL CORP
Practice address
9015 Queens Blvd
Elmhurst, NY 11373-4900
Phone
(718) 595-5200
Fax
(718) 592-7902
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Elaina Zavilensky
Title
President
Phone
(973) 838-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9015 Queens Blvd
Elmhurst, NY 11373-4900

Mailing address

9015 Queens Blvd
Elmhurst, NY 11373-4900
Phone (718) 595-5200

Other names 1

  • Cohen's Fashion Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410001201 NY Part B Supplier - Clinic/Group Practice 5991046476 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

1101 Amboy Ave
Edison, NJ 08837
Phone (718) 477-6700

Practitioners & affiliated clinicians

Practitioners 1

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1992261291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-595-5200",
            "fax_number": "718-592-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-595-5200",
            "fax_number": "718-592-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWZ OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "ZAVILENSKY",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-838-4730"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen's Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.