NPIMap

Organization Active NPI

Overstock Goods Liquidators Inc

Doing business as Eyes.nyc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1194210369
Registry record updated Apr 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008188 Issued in NY
Legal business name
OVERSTOCK GOODS LIQUIDATORS INC
Doing business as
Eyes.nyc
Practice address
1511 Fulton St
1St FL
Brooklyn, NY 11216-5352
Phone
(347) 770-8100
Fax
(718) 233-2870
NPI assigned
Jun 28, 2018
Last updated
Apr 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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

Authorized official

Name
Mr. Aleksandr MisyukNPI 1669526877
Title
Owner
Phone
(347) 770-8100

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
Optometrist 152W00000X TUV008188 NY Primary

Addresses

Primary practice location

1511 Fulton St
1St FL
Brooklyn, NY 11216-5352

Mailing address

1511 Fulton St
1St FL
Brooklyn, NY 11216-5352
Phone (347) 770-8100

Other names 1

  • Eyes.nyc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809000753 NY Part B Supplier - Clinic/Group Practice 1052669942 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617494400000",
    "number": "1194210369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 FULTON ST",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165352",
            "telephone_number": "347-770-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 FULTON ST",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165352",
            "telephone_number": "347-770-8100",
            "fax_number": "718-233-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSTOCK GOODS LIQUIDATORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A",
        "authorized_official_last_name": "MISYUK",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-770-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes.nyc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.