Organization Active NPI

Ny Eye Vision Center

  • Optometrist
  • Ridgewood, NY
National Provider Identifier
1033494786
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60 103383 Issued in NY
Legal business name
NY EYE VISION CENTER
Practice address
5535 Myrtle Ave
Ridgewood, NY 11385-3550
Phone
(347) 889-7094
Fax
(347) 889-7093
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Zeina ZoobiNPI 1548545270
Title
Official
Phone
(347) 889-7094

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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 60 103383 NY Primary

Addresses

Primary practice location

5535 Myrtle Ave
Ridgewood, NY 11385-3550

Mailing address

5535 Myrtle Ave
Ridgewood, NY 11385-3550
Phone (347) 889-7094

National Provider Directory

National Provider Directory

Locations

5535 Myrtle Ave
Ridgewood, NY 11385
Phone (347) 889-7094

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1033494786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853550",
            "telephone_number": "347-889-7094",
            "fax_number": "347-889-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853550",
            "telephone_number": "347-889-7094",
            "fax_number": "347-889-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY EYE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "ZOOBI",
        "authorized_official_first_name": "ZEINA",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "347-889-7094"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "60 103383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.