E&I Optical, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T006198 Issued in NY

Legal business name

E&I OPTICAL, INC

Practice address

1723 Avenue U
Brooklyn, NY 11229-3811

Phone

(718) 998-8400

Fax

(718) 998-2500

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Igor Valery Supitskiy, OPTICIANNPI 1255427654

Title

President

Phone

(718) 998-8400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vision Palace Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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

• Gena Kochin, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1548263833
  Medicare reassignment Care Compare group NPD
• Julia Sheyko

  • Optometrist
  • Brooklyn, NY
  • NPI 1972945095
  Medicare reassignment Care Compare group NPD
• Alexander N Shlivko, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1285245159
  Medicare reassignment Care Compare group NPD
• Huishi Wu

  • Optometrist
  • New York, NY
  • NPI 1740686583
  Medicare reassignment NPD
• Igor Valery Supitskiy, OPHTHALMIC DISPENSER

  • Optician
  • Brooklyn, NY
  • NPI 1255427654
  NPD Authorized official
• Rostislav Ryvkin, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1699757526
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1164518577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293811",
            "telephone_number": "718-998-8400",
            "fax_number": "718-998-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293811",
            "telephone_number": "718-998-8400",
            "fax_number": "718-998-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&I OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SUPITSKIY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "VALERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006198",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007691-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02491050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Palace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eagle Home Care

• 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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.