Individual provider Active NPI

Eric Steven Colman, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1114080942
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003856-1 Issued in NY
Practice address
332 9TH St
Brooklyn, NY 11215-4058
Phone
(718) 965-2545
Fax
(718) 965-2545
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003856-1 NY Primary

Addresses

Primary practice location

332 9TH St
Brooklyn, NY 11215-4058

Mailing address

332 9TH St
Brooklyn, NY 11215-4058
Phone (718) 965-2545

Other identifiers 1

IdentifierTypeStateIssuer
00965408MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000870 NY Practitioner - Optometry 5193817740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Vision LLCGroup PAC ID 8921388554, 2 clinicians
Optical Care LLCGroup PAC ID 5991086290, 3 clinicians

Practice addresses (Care Compare)

2250 86TH St
Brooklyn, NY 11214-4139
Phone (718) 714-1000

3117 23Rd Ave
Astoria, NY 11105-2488
Phone (718) 626-9400

637 5TH Ave
Brooklyn, NY 11215-5434
Phone (718) 499-4260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003856-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Vision LLC Optometrist CurrentSince Nov 4, 2016 Accepting new patients
Hamilton Plaza Vision Center Inc. Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Optical Care LLC Optometrist CurrentSince Nov 7, 2016 Accepting new patients

Locations

3117 23rd Ave
Astoria, NY 11105
Phone (718) 626-9400

637 5th Ave
Brooklyn, NY 11215
Phone (718) 499-4260

2250 86th St
Brooklyn, NY 11214
Phone (718) 372-2800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1114080942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154058",
            "telephone_number": "718-965-2545",
            "fax_number": "718-965-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154058",
            "telephone_number": "718-965-2545",
            "fax_number": "718-965-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMAN",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003856-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00965408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.