Organization Active NPI

Helen Keller Services for the Blind

  • Low Vision Rehabilitation Optometrist
  • Brooklyn, NY
National Provider Identifier
1386626307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
7001202R Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00243009MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.