Organization Active NPI

Bright Eyes Optometry PLLC

  • Optometrist
  • New Rochelle, NY
National Provider Identifier
1174758395
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006466 Issued in NY
Legal business name
BRIGHT EYES OPTOMETRY PLLC
Practice address
177B East Main Street
New Rochelle, NY 10801-5711
Phone
(914) 355-4775
Fax
(914) 355-4777
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Sumati B Deutscher, O.D.NPI 1467429035
Title
Optometrist/Owner
Phone
(914) 355-4775

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006466 NY Primary

Addresses

Primary practice location

177B East Main Street
New Rochelle, NY 10801-5711

Mailing address

177B East Main Street
New Rochelle, NY 10801-5711
Phone (914) 355-4775

Other identifiers 2

IdentifierTypeStateIssuer
03123411MedicaidNY
1174758395OtherNYGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000003 NY Part B Supplier - Clinic/Group Practice 6507916475 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY

National Provider Directory

National Provider Directory

Locations

177 E Main St
#B
New Rochelle, NY 10801
Phone (914) 355-4775

177 E Main St
New Rochelle, NY 10801
Phone (347) 444-9637

177 E Main St
Ste B
New Rochelle, NY 10801
Phone (914) 355-4775

Practitioners & affiliated clinicians

Practitioners 2

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1174758395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177B EAST MAIN STREET",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015711",
            "telephone_number": "914-355-4775",
            "fax_number": "914-355-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177B EAST MAIN STREET",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015711",
            "telephone_number": "914-355-4775",
            "fax_number": "914-355-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT EYES OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "DEUTSCHER",
        "authorized_official_first_name": "SUMATI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "914-355-4775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03123411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174758395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.