Healthcare Provider Details

I. General information

NPI: 1225571151
Provider Name (Legal Business Name): AUSTIN OPTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 AUSTIN ST
FOREST HILLS NY
11375-5355
US

IV. Provider business mailing address

7220 AUSTIN ST
FOREST HILLS NY
11375-5355
US

V. Phone/Fax

Practice location:
  • Phone: 718-561-8655
  • Fax:
Mailing address:
  • Phone: 718-561-8655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: CARMEN IRIS ALVAREZ
Title or Position: OWNER
Credential:
Phone: 718-261-8655