NPIMap

Organization Active NPI

Eyes for You Optical,Inc.

  • Optometrist
  • Patchogue, NY
National Provider Identifier
1417155250
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T-OO5108-1 Issued in NY
Legal business name
EYES FOR YOU OPTICAL,INC.
Practice address
14-A Jayne Avenue
Patchogue, NY 11772
Phone
(631) 475-0222
Fax
(631) 475-0586
NPI assigned
Jul 3, 2007
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Daniel I. Fischman, O.D.NPI 1316019391
Title
President
Phone
(631) 475-0222

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
Optometrist 152W00000X T-OO5108-1 NY Primary

Addresses

Primary practice location

14-A Jayne Avenue
Patchogue, NY 11772

Mailing address

14-A Jayne Avenue
Patchogue, NY 11772
Phone (631) 475-0222

National Provider Directory

National Provider Directory

Locations

14A Jayne Ave
Patchogue, NY 11772
Phone (631) 475-0222

Practitioners & affiliated clinicians

Practitioners 3

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1417155250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-A JAYNE AVENUE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-0222",
            "fax_number": "631-475-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-A JAYNE AVENUE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-0222",
            "fax_number": "631-475-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES FOR YOU OPTICAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "FISCHMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-475-0222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T-OO5108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.