Healthcare Provider Details

I. General information

NPI: 1609737246
Provider Name (Legal Business Name): HEALVISIONOPTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16521 HILLSIDE AVE
JAMAICA NY
11432-4134
US

IV. Provider business mailing address

8750 167TH ST APT 10G
JAMAICA NY
11432-3648
US

V. Phone/Fax

Practice location:
  • Phone: 917-500-4772
  • Fax: 917-500-4772
Mailing address:
  • Phone: 917-500-4772
  • Fax: 917-500-4772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: ARIFA LIPI
Title or Position: OPTICIAN
Credential: LIPI
Phone: 917-500-4772