MY OPTICIAN NYC CORP (NPI# 1417092313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417092313 |
| Entity Type | Organization |
| Organization Name | MY OPTICIAN NYC CORP |
| Practice Address |
5227 Broadway Bronx NY 10463-7636 |
| Mailing Address |
5227 Broadway Bronx NY 10463 |
| Practice Telephone | 2126931111 |
| Practice Fax Number | 2126931114 |
| Mailing Telephone | 2126931111 |
| Mailing Fax Number | 2126931114 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | MARAT SHLIMOV (OPTICIAN) |
| Authorized Official Telephone | 2126931111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
007320 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02622966 | 05 |
| Street Address |
5227 BROADWAY |
| City | BRONX |
| State | NY |
| Zip Code | 10463-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750879169 | National Vision, Inc. | Technician/Technologist | 90 W 225th St, Bronx, NY 10463-7002 | 2018-05-01 |
| 1083025449 | Discount Optical Outlet Inc | Technician/Technologist | 3509 White Plains Rd, Bronx, NY 10467-5705 | 2014-05-19 |
| 1811311061 | Tremont Opticians | Technician/Technologist | 864 E Tremont Ave, Bronx, NY 10460-4201 | 2014-02-08 |
| 1023325107 | Howard Randolph Ellison II | Technician/Technologist | 132 E Fordham Rd, Bronx, NY 10468-5408 | 2010-09-09 |
| 1972734150 | Usv Optical Inc. | Technician/Technologist | 610 Exterior Street, Bronx, NY 10451 | 2009-08-05 |
| 1750563391 | Delvia I Moquete | Technician/Technologist | 54 West Burnside Ave, Bronx, NY 10453-4018 | 2007-12-05 |
| 1083808778 | Manuel Berrios | Technician/Technologist | 4555 3rd Ave, Bronx, NY 10458-7805 | 2007-09-05 |
| 1114048709 | Galina Orloff | Technician/Technologist | 3120 Bainbridge Ave, Bronx, NY 10467-3958 | 2007-04-02 |
| 1801964770 | Guillermo Ysmael Reyes | Technician/Technologist | 54 W Burnside Ave, Bronx, NY 10453-4018 | 2006-11-30 |
| 1568559771 | Lydig Optical Lab | Technician/Technologist | 737 Lydig Ave, Bronx, NY 10462-2103 | 2006-10-07 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.