OPTICAL CHOICE CORP NPI 1922104785

NPI Information

NPI: 1922104785
Provider Name: OPTICAL CHOICE CORP
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
11811 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375
Phone: (718) 793-2461
Get Directions

OPTICAL CHOICE CORP is an optician technician technologist in Forest Hills, NY. OPTICAL CHOICE CORP NPI is 1922104785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11811 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375-202
Phone: (718) 793-2461

The provider's authorized official is Pinkhoz Yusupov .
The authorized official title is Owner and has the following contact phone number (718) 793-2461.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/26/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	007169-1	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	05652G	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	4475180001	MEDICARE NSC	NEW YORK
3	02245238	MEDICAID	NEW YORK
4	G100011190	MEDICARE PIN	NEW 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: 11/14/2023

NPI Synchronization or Removal

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