NPIMap

Organization Active NPI

Optometric Eye Services LLC

  • Optometrist
  • New York, NY
National Provider Identifier
1356460968
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY5512 Issued in NY
Legal business name
OPTOMETRIC EYE SERVICES LLC
Practice address
10 Sheridan SQ
New York, NY 10014-6867
Phone
(212) 242-6592
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Dr. Victoria L. Zupa, OD
Title
Optometrist
Phone
(201) 694-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X NY5512 NY Primary

Addresses

Primary practice location

10 Sheridan SQ
New York, NY 10014-6867

Mailing address

637 Wyckoff Ave.
Ste 233
Wyckoff, NJ 07481
Phone (201) 694-7701

National Provider Directory

National Provider Directory

Locations

637 Wyckoff Ave
Ste 233
Wyckoff, NJ 07481

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1356460968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE.",
            "address_2": "STE 233",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-694-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHERIDAN SQ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146867",
            "telephone_number": "212-242-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC EYE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "ZUPA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "201-694-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 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.