EYELLUSION VISION CENTER INCORPORATED (NPI# 1245261593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245261593 |
| Entity Type | Organization |
| Organization Name | EYELLUSION VISION CENTER INCORPORATED |
| Other Organization Name | EYELLUSION VISION CENTER |
| Practice Address |
6909 Roosevelt Ave Woodside NY 11377-2933 |
| Practice Telephone | 7186391392 |
| Practice Fax Number | 7186392041 |
| Mailing Telephone | 7186391392 |
| Mailing Fax Number | 7186392041 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MR. HERMINIO V FERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7186391392 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
006666 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 5499979 | 01 |
| NY | COLE MANAGED | 205119 | 01 |
| NY | 02291789 | 05 | |
| NY | NVA | 333641 | 01 |
| NY | HIP | 7186391392 | 01 |
| NY | SPECTERA | EV14830 | 01 |
| NY | DAVIS VISION | 44101 | 01 |
| NM | EYEMED | NY6666 | 01 |
| Other Name | Type Code |
|---|---|
| eyellusion vision center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852360 | Eyellusion Vision Center Incorporated | Technician/Technologist | 62 Middle Neck Rd, Great Neck, NY 11021-2357 | 2016-10-20 |
| Street Address |
6909 ROOSEVELT AVE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093021321 | Seul Ki Lim | Optometrist | 6909 Roosevelt Ave, Woodside, NY 11377-2933 | 2010-08-24 |
| 1982853537 | Cindy Yi-fen Chou | Optometrist | 6909 Roosevelt Ave, Woodside, NY 11377-2933 | 2008-09-18 |
| 1891875787 | Pauline Leong | Optometrist | 6909 Roosevelt Ave, Woodside, NY 11377-2933 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477704161 | Herminio Fernandez | Technician/Technologist | 69-09 Roosevelt Avenue, Woodside, NY 11377 | 2008-10-01 |
| 1609075308 | Jairo Zapata | Technician/Technologist | 3982 61st St, Woodside, NY 11377-3555 | 2007-07-12 |
| 1104949072 | Cn Vision Care Inc | Technician/Technologist | 4555 46th St, Woodside, NY 11377-5227 | 2007-04-07 |
| 1861627929 | Lorraine Vasquez | Technician/Technologist | 3905 61st St, 2nd Floor, Woodside, NY 11377-3566 | 2009-05-19 |
| 1780821504 | Nicolas Lope | Technician/Technologist | 4555 46th St, Woodside, NY 11377-5227 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
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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.