Organization Active NPI

The Eye Studio, Inc.

  • Eyewear Supplier
  • Ellenville, NY
National Provider Identifier
1407299027
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
VUT0059141 Issued in NY
Legal business name
THE EYE STUDIO, INC.
Practice address
5 Liberty St
Ellenville, NY 12428-1430
Phone
(845) 647-2020
Fax
(845) 647-4734
NPI assigned
Apr 12, 2013
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Lina M Escobar, ODNPI 1942339387
Title
President
Phone
(845) 647-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X VUT0059141 NY Primary

Addresses

Primary practice location

5 Liberty St
Ellenville, NY 12428-1430

Mailing address

PO Box 468
5 Liberty St.
Ellenville, NY 12428-0468
Phone (845) 647-2020

Other identifiers 1

IdentifierTypeStateIssuer
1942339387OtherNYNPI DR. LINA M. ESCOBAR

National Provider Directory

National Provider Directory
Tax ID family
The Eye Studio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5 Liberty St
Ellenville, NY 12428
Phone (845) 647-2020

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1407299027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "address_2": "5 LIBERTY ST.",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124280468",
            "telephone_number": "845-647-2020",
            "fax_number": "845-647-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LIBERTY ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281430",
            "telephone_number": "845-647-2020",
            "fax_number": "845-647-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE STUDIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-647-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT0059141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. LINA M. ESCOBAR",
            "identifier": "1942339387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.