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FLUSHING MALL OPTICAL INC. NPI 1124030960


NPI Information

NPI: 1124030960
Provider Name: FLUSHING MALL OPTICAL, INC.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
13333 39TH AVE
F22 FLUSHING MALL
FLUSHING, NY
ZIP 11354
Phone: (718) 888-2691
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FLUSHING MALL OPTICAL, INC. is an optician technician technologist in Flushing, NY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. FLUSHING MALL OPTICAL, INC. NPI is 1124030960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13333 39TH AVE
F22 FLUSHING MALL
FLUSHING, NY
ZIP 11354-432
Phone: (718) 888-2691
Fax: (718) 888-2691

The provider's authorized official is Ming Ki Yue .
The authorized official title is President and has the following contact phone number (718) 888-2691.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 12/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician005285NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15311770001MEDICARE NSCNEW YORK
202253249MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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