Active NPI
Helen Keller Services for the Blind
- Low Vision Rehabilitation Optometrist
- Brooklyn, NY
National Provider Identifier
1386626307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 7001202R
- Legal business name
- HELEN KELLER SERVICES FOR THE BLIND
- Practice address
- 57 Willoughby St
Brooklyn, NY 11201-5290 - Phone
- (718) 522-2122
- Fax
- (718) 935-9463
- NPI assigned
- Nov 16, 2005
- 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
- William Francis Dale, MA
- Title
- Clinical Director
- Phone
- (516) 485-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 7001202R | NY | Primary |
Addresses
Primary practice location
57 Willoughby St
Brooklyn, NY 11201-5290
Mailing address
57 Willoughby St
Brooklyn, NY 11201-5290
Phone (718) 522-2122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243009 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386626307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 WILLOUGHBY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015290",
"telephone_number": "718-522-2122",
"fax_number": "718-935-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 WILLOUGHBY ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015290",
"telephone_number": "718-522-2122",
"fax_number": "718-935-9463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELEN KELLER SERVICES FOR THE BLIND",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DALE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "516-485-1234",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NY",
"license": "7001202R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243009",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.