ROOSEVELT FIELD VISION EXPRESS, LLC (NPI# 1760908057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760908057 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT FIELD VISION EXPRESS, LLC |
| Other Organization Name | ULTIMATE SPECTACLE |
| Practice Address |
630 Old Country Rd Unit 493a Garden City NY 11530-3505 |
| Practice Telephone | (917) 748-1570 |
| Mailing Telephone | 9177481570 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | LEONID VAYNER (PRESIDENT) |
| Authorized Official Telephone | 9177481570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 005243 | NY | Suppliers |
| Other Name | Type Code |
|---|---|
| Ultimate Spectacle | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROOSEVELT FIELD VISION EXPRESS, LLC | Roosevelt Field Mall, Suite 493a, Garden City, Ny 11530 |
| Street Address |
630 OLD COUNTRY RD UNIT 493A |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114446796 | Long Island Vision Optometry PC | Optometrist | 630 Old Country Rd Unit 493a, Garden City, NY 11530-3505 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| 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 |
|---|---|---|---|---|
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1013036656 | Real Optical, LLC | Eyewear Supplier (Equipment, not the service) | Roosevelt Field Mall, Garden City, NY 11530 | 2007-03-28 |
| 1447380050 | Twilight Optical Inc. | Eyewear Supplier (Equipment, not the service) | 660 Stewart Ave, Garden City, NY 11530-4708 | 2007-03-06 |
| 1265567069 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 5932 Middlebelt Rd, Garden City, MI 48135-2458 | 2007-02-22 |
| 1841247897 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3101 E Kansas Ave, Garden City, KS 67846-6995 | 2006-05-27 |
| 1235737479 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 711 Stewart Ave, Garden City, NY 11530-4731 | 2020-10-10 |
| 1780140814 | Cfo Retail of Long Island LLC | Eyewear Supplier (Equipment, not the service) | 630 Old Country Rd, Garden City, NY 11530-3467 | 2019-02-13 |
| 1528592144 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 630 Old Country Rd, Garden City, NY 11530-3467 | 2017-04-20 |
| 1063703205 | Cheaper Peepers of Mdiv, Inc. | Eyewear Supplier (Equipment, not the service) | 630 Old Country Rd, Garden City, NY 11530-3467 | 2011-04-21 |
| 1316273980 | Cfo Retail Inc | Eyewear Supplier (Equipment, not the service) | 100 Quentin Roosevelt Blvd, Suite 400, Garden City, NY 11530-4874 | 2009-11-02 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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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.