Individual provider Active NPI

Kimberly Uy, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1013460120
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0084051 Issued in NY
Practice address
774 Broadway
Brooklyn, NY 11206-5316
Phone
(949) 395-8947
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0084051 NY Primary

Addresses

Primary practice location

774 Broadway
Brooklyn, NY 11206-5316

Mailing address

774 Broadway
Brooklyn, NY 11206-5316
Phone (949) 395-8947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930001770 NY Practitioner - Optometry 1557658762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0084051NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Comprehensive Medical Wellness P.C. CurrentSince Apr 14, 2022 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 12, 2016 Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 12, 2016 Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

Interoperability endpoints

  • Direct secure messaging: ukimberly@neilpatel.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1013460120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316",
            "telephone_number": "949-395-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316",
            "telephone_number": "949-395-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0084051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.