Organization Active NPI

Praise Eye Care, OD PLLC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1073768529
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006988 Issued in NY
Legal business name
PRAISE EYE CARE, OD PLLC
Practice address
1657 Bath Ave
Brooklyn, NY 11214-4509
Phone
(718) 331-1491
Fax
(718) 331-1491
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Idy S Wu, O.D.NPI 1861578312
Title
Owner/Optometrist
Phone
(718) 331-1491

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: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006988 NY Primary

Addresses

Primary practice location

1657 Bath Ave
Brooklyn, NY 11214-4509

Mailing address

1657 Bath Ave
Brooklyn, NY 11214-4509
Phone (718) 331-1491

Other identifiers 1

IdentifierTypeStateIssuer
A100000642OtherNYMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1657 Bath Ave
Brooklyn, NY 11214
Phone (718) 331-1491

90 Bowery
Ste 406
New York, NY 10013
Phone (212) 219-3285

Practitioners & affiliated clinicians

Practitioners 2

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1073768529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144509",
            "telephone_number": "718-331-1491",
            "fax_number": "718-331-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144509",
            "telephone_number": "718-331-1491",
            "fax_number": "718-331-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE EYE CARE, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "IDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "718-331-1491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100000642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.