Organization Active NPI

Metro Optics Eyewear, Inc

Doing business as Metro Optics Eyewear

  • Optician
  • Bronx, NY
National Provider Identifier
1174556708
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
METRO OPTICS EYEWEAR, INC
Doing business as
Metro Optics Eyewear
Practice address
1332 Metropolitan Ave
Suite D
Bronx, NY 10462-7978
Phone
(718) 829-5605
Fax
(718) 829-6632
NPI assigned
Jul 8, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Eva Yan, O. D.NPI 1508858820
Title
Vice President / Optometrist
Phone
(718) 829-5605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1332 Metropolitan Ave
Suite D
Bronx, NY 10462-7978

Mailing address

1332 Metropolitan Ave
Suite D
Bronx, NY 10462-7978
Phone (718) 829-5605

Other identifiers 1

IdentifierTypeStateIssuer
00343893MedicaidNY

Other names 1

  • Metro Optics Eyewear Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000038 NY Part B Supplier - Clinic/Group Practice 7719084540 Receives reassigned benefits from 6 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1174556708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 METROPOLITAN AVE",
            "address_2": "SUITE D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627978",
            "telephone_number": "718-829-5605",
            "fax_number": "718-829-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 METROPOLITAN AVE",
            "address_2": "SUITE D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627978",
            "telephone_number": "718-829-5605",
            "fax_number": "718-829-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO OPTICS EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "VICE PRESIDENT / OPTOMETRIST",
        "authorized_official_telephone_number": "718-829-5605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Optics Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2007; 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.