Eyesite Vision II

Primary specialty

OptometristTaxonomy code 152W00000X

License

T006065 Issued in NY

Legal business name

EYESITE VISION II

Practice address

1125 Liberty Ave
Brooklyn, NY 11208-3310

Phone

(718) 235-7900

Fax

(718) 235-7909

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clement Enorense Idehen, O.D

Title

President

Phone

(718) 235-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Josephine M Mew, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1144292285
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124074471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083310",
            "telephone_number": "718-235-7900",
            "fax_number": "718-235-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083310",
            "telephone_number": "718-235-7900",
            "fax_number": "718-235-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESITE VISION II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IDEHEN",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "ENORENSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-235-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02579106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyes at a Glance LLC
• Eyes on 14 St Inc
• Eyes on Kids LLC
• Eyes on Liberty
• Eyes on the Slope
• Eyesite Vision III Incorporation
• Eyevista Optometry of 86, LLC
• Chudi Christian Eyiuche, MD
• Allande Eyma, LPN
• Rebecca Eyre, LMHC, LPC

• 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 Aug 22, 2020; 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.