EYEMAVEN OPTICAL LLC (NPI# 1417557976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417557976 |
| Entity Type | Organization |
| Organization Name | EYEMAVEN OPTICAL LLC |
| Practice Address |
3702 Main St # F1 Flushing NY 11354-4107 |
| Practice Telephone | 7187990239 |
| Mailing Telephone | 7187990239 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | HAU YI WONG (PRESIDENT) |
| Authorized Official Telephone | 7187990239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EYEMAVEN OPTICAL LLC | 37-02 Main Street, F1, Flushing, New York 11354 |
| Street Address |
3702 MAIN ST # F1 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719562 | Hau Yi Wong | Technician/Technologist | 3702 Main St # F1, Flushing, NY 11354-4107 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235753245 | Michelle Chung | Optometrist | 14020 Sanford Ave Apt 1c, Flushing, NY 11355-2559 | 2020-06-04 |
| 1528616620 | Eyesmate Vision Care, Inc | Optometrist | 13335 41st Ave, Flushing, NY 11355-3630 | 2019-09-01 |
| 1811482102 | Kristina Haidatov | Optometrist | 15015 79th Ave Apt 3a, Flushing, NY 11367-3909 | 2018-06-28 |
| 1982198602 | Jeffrey Daniel Enos | Optometrist | 4161 Kissena Blvd Ste 24, Flushing, NY 11355-3105 | 2018-06-16 |
| 1821515636 | Eastern Eye Care Optometry, Pllc | Optometrist | 144-15 41st Avenue, Suite L4, Flushing, NY 11355 | 2017-08-23 |
| 1093257453 | Justin Wu | Optometrist | 14355 41st Ave Apt 5c, Flushing, NY 11355-1821 | 2016-11-15 |
| 1013466275 | Nadezhda Kalantarova | Optometrist | 14754 76th Rd, Mailbox 2, 2nd Floor, Flushing, NY 11367-3140 | 2016-09-29 |
| 1225480296 | Leonard Fuzaylov | Optometrist | 15036 Union Tpke, Flushing, NY 11367-3928 | 2016-07-01 |
| 1255798724 | Precision Optometry Pllc | Optometrist | 13512 Roosevelt Ave, Flushing, NY 11354-5342 | 2016-01-28 |
| 1851794440 | Stargaze Eye Care Optometry P.C. | Optometrist | 13668 Roosevelt Ave Ste Cb, Flushing, NY 11354-5510 | 2014-09-26 |
| Find all providers in FLUSHING | ||||
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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.