Organization Active NPI

Eyes on Hudson Optometry LLC

  • Optometrist
  • Dobbs Ferry, NY
National Provider Identifier
1295356384
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON HUDSON OPTOMETRY LLC
Practice address
66 Main St Ste B
Dobbs Ferry, NY 10522-2161
Phone
(914) 250-9330
NPI assigned
Apr 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Authorized official

Name
Katelyn RogersonNPI 1275866014
Title
Owner/Optometrist
Phone
(914) 461-0800

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 Primary

Addresses

Primary practice location

66 Main St Ste B
Dobbs Ferry, NY 10522-2161

Mailing address

66 Main St Ste B
Dobbs Ferry, NY 10522-2161
Phone (914) 461-0800

Other names 1

  • Eyes on Hudson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200925001255 NY Part B Supplier - Clinic/Group Practice 1658790530 Receives reassigned benefits from 2 practitioners
Practice locations: Dobbs Ferry, NY

National Provider Directory

National Provider Directory

Locations

66 Main St
Ste B
Dobbs Ferry, NY 10522
Phone (914) 250-9330

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": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593820800000",
    "number": "1295356384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST STE B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222161",
            "telephone_number": "914-461-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST STE B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222161",
            "telephone_number": "914-250-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON HUDSON OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A",
        "authorized_official_last_name": "ROGERSON",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "914-461-0800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Hudson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.