NPIMap

Organization Active NPI

Eyecare Center of Mexico, Inc.

  • Optometrist
  • Mexico, NY
National Provider Identifier
1104924752
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003386 Issued in NY
Legal business name
EYECARE CENTER OF MEXICO, INC.
Practice address
57 North St
Mexico, NY 13114-4302
Phone
(315) 963-8233
Fax
(315) 963-7209
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Chelsey A Barker
Title
Owner
Phone
(315) 963-8233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV003386 NY Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV006428 NY

Addresses

Primary practice location

57 North St
Mexico, NY 13114-4302

Mailing address

57 North St
PO Box 368
Mexico, NY 13114-4302
Phone (315) 963-8233

Other names 1

  • EyeCare Center of Mexico, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040412000970 NY Part B Supplier - Clinic/Group Practice 2466446604 Receives reassigned benefits from 1 practitioner
Practice locations: Mexico, NY
O20150909002411 NY DME Supplier - Physician - Optometrist 2466446604 Practice locations: Mexico, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bscoleman@mexicooptometry.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1104924752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "PO BOX 368",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131144302",
            "telephone_number": "315-963-8233",
            "fax_number": "315-963-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131144302",
            "telephone_number": "315-963-8233",
            "fax_number": "315-963-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER OF MEXICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-963-8233"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003386",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare Center of Mexico, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EyeCare Center of Mexico, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.

Verify at the official NPI Registry.