Jireh Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JIREH EYE CARE LLC

Practice address

11110 Liberty Ave
South Richmond Hill, NY 11419-1898

Phone

(718) 641-3450

Fax

(718) 641-3792

NPI assigned

Jan 19, 2023

Last updated

Jan 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irma L Lopez, ODNPI 1679791065

Title

OD/Owner

Phone

(917) 607-2682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Irma Liliana Lopez, O.D.

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1679791065
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1225743677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 149TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141124",
            "telephone_number": "917-607-2682",
            "fax_number": "718-641-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191898",
            "telephone_number": "718-641-3450",
            "fax_number": "718-641-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "917-607-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine RX, Inc
• Jasmine Specialty RX Corp (jasmine rx)
• Yousuf Jawad, BPHARM
• Felicia Angela Jettoo
• George Vishnudatt Jhagroo Sr., M.D
• Amelia Mary Veronica Johnson, RN
• Monica Madhuri Jolly, DMD
• Simranpreet Kainth, MD
• Jonathan Bruce Kameros, D.D.S.
• Kamilla Ismailoff, MD, PC

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.