Oculus Medical Eye Care PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

260867 Issued in NY

Legal business name

OCULUS MEDICAL EYE CARE PC

Practice address

139 Centre St Ste 618
New York, NY 10013

Phone

(646) 559-8808

Fax

(646) 559-9950

NPI assigned

Nov 19, 2017

Organization subpart

No

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

Authorized official

Name

Andrea Jue, MDNPI 1699970129

Title

President

Phone

(646) 559-8808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Andrea Jue, M.D.

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1699970129

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1174037758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 618",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134556",
            "telephone_number": "646-559-8808",
            "fax_number": "646-559-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 618",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "646-559-8808",
            "fax_number": "646-559-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Mott St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135540",
            "country_code": "US",
            "telephone_number": "914-768-3383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCULUS MEDICAL EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "JUE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-559-8808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octave Psychiatry Behavioral Health PC
• Octave Psychiatry Behavioral Health PC
• Shilisha T October
• Janeth A Oculam, NURSE PRACTITIONER
• Ocular Holdings LLC
• Brunismel Ocumares
• Carolyne Atieno Odada
• Ari Odamaki, L.AC.
• Jennifer Oddo
• Thomas Oddo, D.C.

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.