Cocos Vision Designer Optical
NPI 1235780719ActiveOrganization· Optometrist· Astoria, NY
Optometrist in Astoria, New York, registered in NPPES in September 2019, part of Cocos Vision Designer Optical. The authorized official on file is Ethan Faraonov, Manager.
Overview
| NPI | 1235780719 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Cocos Vision Designer Optical |
| NPI issued | Sep 25, 2019 |
| Last updated in NPPES | Sep 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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