Eyeconic Vision Si LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

EYECONIC VISION SI LLC

Practice address

1652 Richmond Ave
Staten Island, NY 10314-1577

Phone

(718) 982-9602

NPI assigned

Oct 30, 2025

Organization subpart

No

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

Authorized official

Name

Pinches Daskal

Title

Owner

Phone

(347) 731-5877

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syeda Safura Hussaini

  • Optometrist
  • Staten Island, NY
  • NPI 1902457112
  Medicare reassignment NPD

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1255200184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 NOSTRAND AVE APT L1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141577",
            "telephone_number": "718-982-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECONIC VISION SI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "PINCHES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-731-5877"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herute-Amlak Extavour, LPN
• Raffaella Eydelman, RN
• Eye Care Vision Optometry P.C.
• Eye Physicians and Surgeons of Ny, PLLC
• Eye Surgery & Aesthetics PC
• Eyeconic Vision World Inc
• Eyeglasses Unlimited Incorporated
• Eyeland Vision Optique
• Eyes & Optics Bay St LLC
• Eyes & Optics Family Vision Center LLC

• Non-Pharmacy Dispensing Site in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.