NPIMap

Organization Active NPI

Union Square Eye Center LLC

Doing business as Union Square Eye Care - Harlem

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1285105866
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
UNION SQUARE EYE CENTER LLC
Doing business as
Union Square Eye Care - Harlem
Practice address
1815 Madison Avenue
New York, NY 10035
Phone
(212) 844-2020
Fax
(212) 844-8221
NPI assigned
Dec 8, 2018
Last updated
May 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Dr. Herbert Jay Wisnicki, MDNPI 1407838451
Title
Owner/Medical Director
Phone
(212) 844-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1815 Madison Avenue
New York, NY 10035

Mailing address

235 Park Ave S FL 2
New York, NY 10003-1405
Phone (212) 844-2020

Other names 1

  • Union Square Eye Care - Harlem Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191105001875 NY Part B Supplier - Clinic/Group Practice 9133451438 Receives reassigned benefits from 20 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

1815 Madison Ave
New York, NY 10035

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1285105866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031405",
            "telephone_number": "212-844-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 MADISON AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-844-2020",
            "fax_number": "212-844-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-08",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "WISNICKI",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-844-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Square Eye Care - Harlem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Square Eye Care - Harlem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

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