{"npi":"1083647705","type":"NPI-2","status":"active","name":{"display":"Bonafide Opticians Of Ave L INC","other":[],"organization_name":"BONAFIDE OPTICIANS OF AVE L INC","authorised_official":"Iqbal Venjara"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"NY","license":"005083-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"9508 AVENUE L","city":"BROOKLYN","state":"NY","postal_code":"112364811","country_code":"US","phone":"7184443126","fax":"7184443126"},{"purpose":"MAILING","street_1":"9508 AVENUE L","city":"BROOKLYN","state":"NY","postal_code":"112364811","country_code":"US","phone":"7184443126","fax":"7184443126"}],"license":{"state":"NY","number":"005083-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01501440","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121017000828","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"0547389587"}]},"enumeration_date":"2006-07-08","last_updated":"2012-11-05","_meta":{"source":"NPPES","snapshot_date":"2012-11-05","doc_url":"https://findmynpi.com/api"}}