Organization Active NPI

Eyes Open Optical Boutique

  • Eyewear Supplier
  • New York, NY
National Provider Identifier
1376029074
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYES OPEN OPTICAL BOUTIQUE
Practice address
4310 Broadway
New York, NY 10033-3728
Phone
(212) 568-0707
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Elisseette Abreu Caballero
Title
Owner
Phone
(212) 568-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

4310 Broadway
New York, NY 10033-3728

Mailing address

4310 Broadway
New York, NY 10033-3728
Phone (212) 568-0707

National Provider Directory

National Provider Directory

Locations

4310 Broadway
New York, NY 10033
Phone (212) 568-0707

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1376029074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333728",
            "telephone_number": "212-568-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333728",
            "telephone_number": "212-568-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OPEN OPTICAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "ABREU CABALLERO",
        "authorized_official_first_name": "ELISSEETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-568-0707"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "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 Jul 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.