Eyeconic Vision Inwood LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

EYECONIC VISION INWOOD LLC

Doing business as

Benjamin Optical

Practice address

575 Burnside Ave
Inwood, NY 11096-1300

Phone

(516) 238-8932

NPI assigned

Nov 30, 2023

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pinches Daskal

Title

Member

Phone

(516) 239-8932

Specialties & licenses 2

Addresses

Other names 1

• Benjamin Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Rachel Laura Pollak, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1326525841
  Medicare reassignment NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1427824416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BURNSIDE AVE",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961300",
            "telephone_number": "516-238-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BURNSIDE AVE",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961300",
            "telephone_number": "516-238-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECONIC VISION INWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "DASKAL",
        "authorized_official_first_name": "PINCHES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-239-8932"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benjamin Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chiennah Drillman, RN, BSN, IBCLC
• Charlene Dwarika
• Ahuva Edelstein
• Jessica Escaravage, B.S.
• Eyeconic Inwood Inc (Benjamin Optical)
• Chimereucheya Ezihie, RN
• Alyssa Christine Ferro
• First Response Ambulance, Inc.
• Chaim Israel Fishfeld, D.O.
• John Fitzsimmons

• Non-Pharmacy Dispensing Site in Inwood, NY
• Providers in Inwood, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.