Active NPI
William Edward Guerrero, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1184741076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005439
- Practice address
- 213 8TH Ave
New York, NY 10011-1605 - Phone
- (212) 989-8485
- NPI assigned
- Mar 23, 2007
- Last updated
- Dec 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T005439 | NY | Primary |
Addresses
Primary practice location
213 8TH Ave
New York, NY 10011-1605
Mailing address
30 King St
Dobbs Ferry, NY 10522-2005
Phone (914) 591-4255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01692819 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005439 | NY | MD | School Psychologist |
| T005439 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes & Optics Lincoln LLC | Current | Accepting new patients | |
| Eyes & Optics Jacobi LLC | Current | Accepting new patients | |
| Eising South Inc | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2922 Avenue L
Brooklyn, NY 11210
Phone (718) 513-6911
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cohen's Jacobi Medical Center
- Eyewear Supplier
- Brooklyn, NY
- NPI 1902227028
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1689861619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1184741076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 KING ST",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222005",
"telephone_number": "914-591-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 8TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100111605",
"telephone_number": "212-989-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01692819",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.