Individual provider Active NPI

Isayas Tekle Tekie, D.O

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1487984324
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56 007501 Issued in NY
Practice address
922A Flatbush Ave
Brooklyn, NY 11226-4018
Phone
(718) 862-3665
NPI assigned
Dec 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56 007501 NY Primary

Addresses

Primary practice location

922A Flatbush Ave
Brooklyn, NY 11226-4018

Mailing address

922A Flatbush Ave
Brooklyn, NY 11226-4018
Phone (718) 862-3665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101112000245 NY Practitioner - Optometry 5799970018 Reassigns benefits to 2 organizations
Practice locations: Flushing, NY
I20230328001659 DC Practitioner - Optometry 5799970018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
56 007501NYMDOptometrist
007501NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Apr 1, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Visionworks, Inc. Optometrist Current Accepting new patients
Aspire Health Solutions Inc Optometrist CurrentSince Oct 1, 2022 Accepting new patients
New York Eye Surgery Associates PLLC CurrentSince Jul 28, 2010 Accepting new patients

Locations

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1487984324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922A FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-862-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922A FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264018",
            "telephone_number": "718-862-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKIE",
        "first_name": "ISAYAS",
        "middle_name": "TEKLE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-26",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56 007501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.