Organization Active NPI

Eyecor Inc

  • Optometrist
  • West Nyack, NY
National Provider Identifier
1003569393
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECOR INC
Practice address
2681 Palisades Center Dr
West Nyack, NY 10994-6406
Phone
(845) 358-9001
Fax
(845) 358-9073
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dmitri Yezril
Title
Owner
Phone
(917) 915-6740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2681 Palisades Center Dr
West Nyack, NY 10994-6406

Mailing address

2681 Palisades Center Dr
West Nyack, NY 10994-6406
Phone (845) 358-9001

National Provider Directory

National Provider Directory

Locations

2681 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 358-9001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1003569393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946406",
            "telephone_number": "845-358-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 PALISADES CENTER DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109946406",
            "telephone_number": "845-358-9001",
            "fax_number": "845-358-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "YEZRIL",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-915-6740"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.