MAK OPTICAL OF NEW YORK INC (NPI# 1376642975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376642975 |
| Entity Type | Organization |
| Organization Name | MAK OPTICAL OF NEW YORK INC |
| Other Organization Name | PEARLE VISION |
| Practice Address |
6135 Junction Blvd Rego Park NY 11374-2771 |
| Practice Telephone | 7184597100 |
| Mailing Telephone | 7184597100 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | GLEN E SMITH (MANAGER) |
| Authorized Official Telephone | 7184597100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NY7701 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01421416 | 05 |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| Street Address |
6135 JUNCTION BLVD |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033610779 | Hyde Zhuang | Pharmacy | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2018-02-27 |
| 1962958942 | Rebecca Alma-rosa Lopez | Registered Nurse | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2016-08-30 |
| 1194119420 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2015-03-25 |
| 1184017717 | Costco Wholesale Corporation | Hearing Aid Equipment | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2015-03-06 |
| 1710229604 | Tony Park Od Pllc | Clinic/Center | 6135 Junction Blvd, Costco Optometry, Rego Park, NY 11374-2771 | 2013-03-19 |
| 1467749630 | Provision At New York LLC | Clinic/Center | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2011-07-07 |
| 1770802910 | Costco Wholesale Corporation | Pharmacy | 6135 Junction Blvd, Rego Park, NY 11374 | 2010-05-27 |
| 1598907776 | Orobola Titilayo Sanwo | Pharmacist | 6135 Junction Blvd, Rego Park, NY 11374-2771 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1033456140 | Brilliant Vision Corp. | Technician/Technologist | 97-21 Queens Blvd, Rego Park, NY 11374 | 2013-01-09 |
| 1336360767 | Omega Optical Inc | Technician/Technologist | 9102 63rd Dr, Rego Park, NY 11374-3850 | 2007-05-02 |
| 1932239191 | Jacob Davidov | Technician/Technologist | 9309 63rd Dr # A, Rego Park, NY 11374-2924 | 2007-03-06 |
| 1396826616 | Olga Shimanova | Technician/Technologist | 9102 63 Dr, Rego Park, NY 11374-3850 | 2006-10-17 |
| 1689912727 | Eleanora Mullokandova | Technician/Technologist | 97-21 Queens Blvd, Rego Park, NY 11374 | 2013-01-24 |
| 1730424201 | Berta Polvanova | Technician/Technologist | 9732 63rd Rd, Rego Park, NY 11374-1639 | 2012-12-10 |
| 1871761478 | Davidoff Optical Center Corp. | Technician/Technologist | 9309 63rd Dr, Rego Park, NY 11374-2924 | 2008-02-15 |
| 1346336146 | Glen E Smith | Technician/Technologist | 9525 Queens Blvd, Rego Park, NY 11374-4511 | 2006-10-05 |
| 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 |
| 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 |
| 1215577507 | Denise R Jones | Technician/Technologist | 6115 Metropolitan Ave # Store549, Ridgewood, NY 11385-2644 | 2020-01-14 |
| 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.