Organization Active NPI

Eyecrafters LLC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1235559691
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004733 Issued in NY
Legal business name
EYECRAFTERS LLC
Practice address
340 Jay St
Brooklyn, NY 11201-2930
Phone
(718) 858-5000
Fax
(718) 576-3234
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Alex Babayev
Title
Owner
Phone
(718) 858-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004733 NY Primary

Addresses

Primary practice location

340 Jay St
Brooklyn, NY 11201-2930

Mailing address

340 Jay St
Brooklyn, NY 11201-2930
Phone (718) 858-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170315002505 NY Part B Supplier - Clinic/Group Practice 0547545469 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

340 Jay St
Brooklyn, NY 11201
Phone (718) 858-5000

340 Jay St
Ste 1
Brooklyn, NY 11201
Phone (718) 858-5000

Practitioners & affiliated clinicians

Practitioners 3

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1235559691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012930",
            "telephone_number": "718-858-5000",
            "fax_number": "718-576-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012930",
            "telephone_number": "718-858-5000",
            "fax_number": "718-576-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECRAFTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BABAYEV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-858-5000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004733",
            "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 Apr 23, 2014; 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.