OPTIC SHADES (NPI# 1285103572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285103572 |
| Entity Type | Organization |
| Organization Name | OPTIC SHADES |
| Practice Address |
577 2nd Ave New York NY 10016-6377 |
| Practice Telephone | 2126868666 |
| Mailing Telephone | 2126868666 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | YURIY NEKTALOV (OWNER) |
| Authorized Official Telephone | 2126868666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OPTIC SHADES 2ND AVE INC. | 577 2nd Ave, New York, Ny 10016 |
| Street Address |
577 2ND AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-6377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023417243 | Tara Camille Wong-chiou | Optometrist | 577 2nd Ave, New York, NY 10016-6377 | 2014-08-14 |
| 1225501083 | Yuriy Nektalov | Technician/Technologist | 577 2nd Ave, New York, NY 10016-6377 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863109 | 20/20 Vision PC | Eyewear Supplier (Equipment, not the service) | 520 8th Ave Rm 900, New York, NY 10018-4141 | 2020-02-19 |
| 1659857209 | Cohen Fashion Optical LLC | Eyewear Supplier (Equipment, not the service) | 660 Lexington Ave, New York, NY 10022-3503 | 2018-07-17 |
| 1376029074 | Eyes Open Optical Boutique | Eyewear Supplier (Equipment, not the service) | 4310 Broadway, New York, NY 10033-3728 | 2018-07-16 |
| 1497242036 | Ask 131 LLC | Eyewear Supplier (Equipment, not the service) | 2239 Adam Clayton Powell Jr Blvd, New York, NY 10027-7805 | 2018-04-19 |
| 1407353188 | A & I Optical, Inc | Eyewear Supplier (Equipment, not the service) | 539 8th Avenue, New York, NY 10018 | 2018-04-10 |
| 1891207833 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 185 Columbus Ave, New York, NY 10023-5103 | 2017-10-31 |
| 1538671573 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1258 Avenue of The Americas, New York, NY 10020-1511 | 2017-10-31 |
| 1356868475 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 121 Greene St, New York, NY 10012-5403 | 2017-08-29 |
| 1982121000 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 819 Washington St, New York, NY 10014-1405 | 2017-08-29 |
| 1689191702 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 25 Grand Central Terminal Ste Mc-26, New York, NY 10017-5618 | 2017-08-29 |
| Find all providers in NEW YORK | ||||
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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.