Healthcare Provider Details

I. General information

NPI: 1942188941
Provider Name (Legal Business Name): KUONA OPTOMETRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NASSAU ST
NEW YORK NY
10038-2482
US

IV. Provider business mailing address

99 FLEET PL APT 8A
BROOKLYN NY
11201-7836
US

V. Phone/Fax

Practice location:
  • Phone: 617-835-9404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SOPHIA VISANJI
Title or Position: FOUNDER
Credential: OD
Phone: 617-835-9404