Individual provider Active NPI

Jessica B Rimm, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1134849268
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009649 Issued in NY
Practice address
330 W 58TH St Ste 600
New York, NY 10019-1817
Phone
(212) 204-0600
Fax
(212) 600-5826
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009649 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 600
New York, NY 10019-1817

Mailing address

330 W 58TH St Ste 330W58Th
New York, NY 10019-1827
Phone (212) 204-0600

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
I20221004001035 NY Practitioner - Optometry 0840676532 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009649NYMDOptometrist
009649NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eurooptica II LLC Optometrist CurrentSince Jan 23, 2025 Accepting new patients

Locations

New York, NY 10021
Phone (212) 257-3110

Organizations & group practices 2

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1134849268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 330W58TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191827",
            "telephone_number": "212-204-0600",
            "fax_number": "212-600-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191817",
            "telephone_number": "212-204-0600",
            "fax_number": "212-600-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMM",
        "first_name": "JESSICA",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.