Organization Active NPI

Union Square Eye Care LLC

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1508188038
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
UNION SQUARE EYE CARE LLC
Practice address
235 Park Ave S
2ND Floor
New York, NY 10003-1405
Phone
(212) 844-2020
NPI assigned
Feb 25, 2010
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
H Jay Wisnicki, MD
Title
Owner
Phone
(212) 844-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 150650 NY
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

235 Park Ave S
2ND Floor
New York, NY 10003-1405

Mailing address

235 Park Ave S
2ND Floor
New York, NY 10003-1405
Phone (212) 844-2020

Other identifiers 1

IdentifierTypeStateIssuer
03416653MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000309 NY Part B Supplier - Clinic/Group Practice 2062548092 Receives reassigned benefits from 9 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

235 Park Ave S
Fl 2
New York, NY 10003
Phone (212) 614-0039

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14049/brand/10/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1508188038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PARK AVE S",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031405",
            "telephone_number": "212-844-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PARK AVE S",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031405",
            "telephone_number": "212-844-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "WISNICKI",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-844-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "150650",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03416653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.