Organization Active NPI

RS Eyes Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1124590963
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RS EYES INC
Practice address
38 W Burnside Ave
Bronx, NY 10453-4019
Phone
(718) 280-1332
Fax
(718) 280-2095
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Authorized official

Name
Jessica Matilde Betancourt
Title
Owner
Phone
(718) 280-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

38 W Burnside Ave
Bronx, NY 10453-4019

Mailing address

38 W Burnside Ave
Bronx, NY 10453-4019
Phone (718) 280-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001286 NY Part B Supplier - Clinic/Group Practice 4688085962 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

38 W Burnside Ave
Bronx, NY 10453
Phone (347) 270-1307

2 W Burnside Ave
Bronx, NY 10453
Phone (718) 280-1332

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": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761350400000",
    "number": "1124590963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534019",
            "telephone_number": "718-280-1332",
            "fax_number": "718-280-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534019",
            "telephone_number": "718-280-1332",
            "fax_number": "718-280-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS EYES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MATILDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-280-1332"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; 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.