Active NPI
Miles & Tisch Eyecare Associates LTD
- Optometrist
- New York, NY
National Provider Identifier
1033390844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005672-01
- Legal business name
- MILES & TISCH EYECARE ASSOCIATES LTD
- Practice address
- 244 West 54TH Street
Suite, 402
New York, NY 10019-5704 - Phone
- (212) 765-2660
- Fax
- (212) 765-2714
- NPI assigned
- Nov 20, 2007
- Last updated
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig Brian Tisch, OD
- Title
- Optometrist
- Phone
- (212) 765-2660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005672-01 | NY | Primary |
Addresses
Primary practice location
244 West 54TH Street
Suite, 402
New York, NY 10019-5704
Mailing address
244 West 54TH Street
Suite, 402
New York, NY 10019-5704
Phone (212) 765-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01777128 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
888 8th Ave
New York, NY 10019
Phone (212) 765-2660
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- New York, NY
- NPI 1346316718
-
- Optometrist
- New York, NY
- NPI 1447744263
-
- Optometrist
- New York, NY
- NPI 1902288202
-
- Ophthalmology Physician
- New York, NY
- NPI 1871564963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616976000000",
"number": "1033390844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 WEST 54TH STREET",
"address_2": "SUITE, 402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195704",
"telephone_number": "212-765-2660",
"fax_number": "212-765-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 WEST 54TH STREET",
"address_2": "SUITE, 402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195704",
"telephone_number": "212-765-2660",
"fax_number": "212-765-2714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILES & TISCH EYECARE ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-20",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A",
"authorized_official_last_name": "TISCH",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "212-765-2660",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005672-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01777128",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.