Active NPI
Linden Eye Care Inc
- Optometrist
- Bronx, NY
National Provider Identifier
1316508989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- LINDEN EYE CARE INC
- Practice address
- 625 E Fordham Rd
Bronx, NY 10458-5049 - Phone
- (718) 475-6912
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrey Gan
- Title
- Owner
- Phone
- (718) 902-9592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
625 E Fordham Rd
Bronx, NY 10458-5049
Mailing address
2084 Linden Blvd
Brooklyn, NY 11207-7412
Other names 1
- Fordham Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Linden Eye Care Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- New York, NY
- NPI 1053279778
-
- Optometrist
- Rego Park, NY
- NPI 1245198969
-
- Optometrist
- Brooklyn, NY
- NPI 1932582897
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Staten Island, NY
- NPI 1902457112
-
- Optometrist
- Bronx, NY
- NPI 1003657628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725321600000",
"number": "1316508989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112077412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585049",
"telephone_number": "718-475-6912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDEN EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "GAN",
"authorized_official_first_name": "ANDREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-902-9592",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fordham Eye Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fordham Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.