NPIMap

Organization Active NPI

Eyecare Advantage, Inc.

Doing business as Eyecare Vision Services

  • Optometrist
  • Valley Stream, NY
National Provider Identifier
1386000172
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003236-1 Issued in NY
Legal business name
EYECARE ADVANTAGE, INC.
Doing business as
Eyecare Vision Services
Practice address
26 W Merrick Rd
Valley Stream, NY 11580-5742
Phone
(516) 589-2267
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Dawn Roberts
Title
Director
Phone
(516) 589-2267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003236-1 NY Primary

Addresses

Primary practice location

26 W Merrick Rd
Valley Stream, NY 11580-5742

Mailing address

1953 Grand Ave
North Baldwin, NY 11510-2820
Phone (516) 589-2267

Other names 1

  • Eyecare Vision Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eyecare Advantage Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

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": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1386000172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 GRAND AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102820",
            "telephone_number": "516-589-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805742",
            "telephone_number": "516-589-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-589-2267"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003236-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Vision Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.