Organization Active NPI

Wise Medical Ny PC

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1245751882
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WISE MEDICAL NY PC
Practice address
5918 18TH Ave Ste 3
Brooklyn, NY 11204
Phone
(212) 739-1799
Fax
(212) 739-1793
NPI assigned
Jul 5, 2017
Last updated
Aug 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Eli Inzlicht-Sprei, MDNPI 1275586687
Title
Owner
Phone
(917) 415-5147

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 NU Primary

Addresses

Primary practice location

5918 18TH Ave Ste 3
Brooklyn, NY 11204

Mailing address

5314 16TH Ave Ste 405
Brooklyn, NY 11204-1425
Phone (212) 739-1799

Other practice location 1

1121 E 21st St
Brooklyn, NY 11210-3615
Phone (718) 408-8860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920000436 NY Part B Supplier - Clinic/Group Practice 3173897816 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY; Yonkers, NY; Woodbury, NY; New Rochelle, NY; Lynbrook, NY; Flushing, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

5918 18th Ave
Ste 3
Brooklyn, NY 11204
Phone (212) 739-1799

340 E Montauk Hwy
East Islip, NY 11730
Phone (631) 226-8600

Practitioners & affiliated clinicians

Practitioners 7

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": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1245751882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 16TH AVE STE 405",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041425",
            "telephone_number": "212-739-1799",
            "fax_number": "212-739-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 18TH AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "212-739-1799",
            "fax_number": "212-739-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103615",
            "country_code": "US",
            "telephone_number": "718-408-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE MEDICAL NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "INZLICHT-SPREI",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-415-5147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "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 Aug 6, 2019; 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.