Individual provider Active NPI

Leo J. Esses, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1457427759
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006967-1 Issued in NY
Practice address
972 Flatbush Ave
Brooklyn, NY 11226-4018
Phone
(718) 826-0005
Fax
(718) 693-4512
NPI assigned
Nov 28, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006967-1 NY Primary

Addresses

Primary practice location

972 Flatbush Ave
Brooklyn, NY 11226-4018

Mailing address

972 Flatbush Ave
Brooklyn, NY 11226-4018
Phone (718) 826-0005

Other identifiers 1

IdentifierTypeStateIssuer
TUV006967-1OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000311 NY Practitioner - Optometry 5092979740 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006967-1NYMDOptometrist
006967NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Optometry Care PC Optometrist CurrentSince Feb 10, 2019 Accepting new patients
Nesses Optical LTD Optometrist CurrentSince Jul 23, 2007 Accepting new patients
Payless Lens Lab, Inc. Optometrist PastSince May 1, 2012 Accepting new patients
Isaac Reich MD Ca a Professional Corporation PastSince Sep 1, 2022 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

972 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 826-0005

46 Harriman Dr
Goshen, NY 10924
Phone (845) 291-3700

19106 Hillside Ave
Jamaica, NY 11423
Phone (718) 439-8533

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1457427759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-826-0005",
            "fax_number": "718-693-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-826-0005",
            "fax_number": "718-693-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSES",
        "first_name": "LEO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006967-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TUV006967-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.