Organization Active NPI

Rye Eye Care OD PLLC

  • Optometrist
  • Rye, NY
National Provider Identifier
1275792137
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003962-1 Issued in NY
Legal business name
RYE EYE CARE OD PLLC
Practice address
59 Purchase St
Rye, NY 10580-3005
Phone
(914) 967-2020
Fax
(914) 967-1632
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Samuel Choi, ODNPI 1366690448
Title
Optometrist
Phone
(212) 686-1653

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003962-1 NY Primary

Addresses

Primary practice location

59 Purchase St
Rye, NY 10580-3005

Mailing address

59 Purchase St
Rye, NY 10580-3005
Phone (914) 967-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000532 NY Part B Supplier - Clinic/Group Practice 4688740822 Receives reassigned benefits from 4 practitioners
Practice locations: Rye, NY

National Provider Directory

National Provider Directory
Tax ID family
Kips Bay Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

59 Purchase St
Rye, NY 10580
Phone (914) 967-2020

Practitioners & affiliated clinicians

Practitioners 6

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1275792137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803005",
            "telephone_number": "914-967-2020",
            "fax_number": "914-967-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803005",
            "telephone_number": "914-967-2020",
            "fax_number": "914-967-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE EYE CARE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "212-686-1653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003962-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.