Active NPI
David Hyde, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1205988128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005055
- Practice address
- 1413 Fulton St
Brooklyn, NY 11216-2607 - Phone
- (718) 636-4500
- Fax
- (718) 636-2998
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | TUV005055 | NY | Primary |
Addresses
Primary practice location
1413 Fulton St
Brooklyn, NY 11216-2607
Mailing address
1456 Fulton St
Brooklyn, NY 11216-2505
Phone (718) 636-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005055 | NY | MD | Optometrist |
| 005055 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Eye Specs LLC | Optometrist | Current | Accepting new patients |
| Hyde Your Eyes Optical Inc | Optometrist | Current | Accepting new patients |
Locations
2193 Broadway
New York, NY 10024
Phone (212) 877-2980
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1205988128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162505",
"telephone_number": "718-636-4500",
"fax_number": "347-296-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162607",
"telephone_number": "718-636-4500",
"fax_number": "718-636-2998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "DAVID",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.