Eyes on 14 St Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES ON 14 ST INC

Practice address

2888 Fulton St
Brooklyn, NY 11207-2718

Phone

(718) 277-9200

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Chris Li

Title

Owner

Phone

(718) 277-9200

Specialties & licenses 1

Addresses

Other names 1

• FULTON EYECARE Doing business as

Locations

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1083376826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072718",
            "telephone_number": "718-277-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072718",
            "telephone_number": "718-277-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON 14 ST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-277-9200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULTON EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.