Nyc Optometry 589 PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NYC OPTOMETRY 589 PC

Practice address

589 Sutter Ave
Brooklyn, NY 11207-4002

Phone

(347) 627-7896

Fax

(718) 642-3496

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

David Reyes

Title

Owner

Phone

(718) 934-6714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1407582091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074002",
            "telephone_number": "347-627-7896",
            "fax_number": "718-642-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074002",
            "telephone_number": "347-627-7896",
            "fax_number": "718-642-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC OPTOMETRY 589 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-934-6714"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.