Organization Active NPI

Lucien Eyes, Inc.

Doing business as Eyecare Center of Bellport

  • Optometrist
  • Bellport, NY
National Provider Identifier
1306969548
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006097-1 Issued in NY
Legal business name
LUCIEN EYES, INC.
Doing business as
Eyecare Center of Bellport
Practice address
5 Bellport LN
Bellport, NY 11713-2705
Phone
(631) 286-4014
Fax
(631) 286-2070
NPI assigned
Apr 10, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LUCIEN EYES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Edward Deneve, O.D.NPI 1114074945
Title
Owner
Phone
(631) 286-4014

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 TUV006097-1 NY Primary

Addresses

Primary practice location

5 Bellport LN
Bellport, NY 11713-2705

Mailing address

5 Bellport LN
Bellport, NY 11713-2705
Phone (631) 286-4014

Other names 1

  • Eyecare Center of Bellport Doing business as

National Provider Directory

National Provider Directory
Part of
Lucien Eyes Center of Bellp

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1306969548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BELLPORT LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132705",
            "telephone_number": "631-286-4014",
            "fax_number": "631-286-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BELLPORT LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132705",
            "telephone_number": "631-286-4014",
            "fax_number": "631-286-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIEN EYES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUCIEN EYES, INC.",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DENEVE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-286-4014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Bellport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.