Active NPI
Eyeconic Vision Brownsville Inc
- Non-Pharmacy Dispensing Site
- Brooklyn, NY
National Provider Identifier
1508417221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- EYECONIC VISION BROWNSVILLE INC
- Practice address
- 9617 Church Ave
Brooklyn, NY 11212-2443 - Phone
- (718) 925-2010
- NPI assigned
- Sep 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pinches Daskal
- Title
- Owner
- Phone
- (347) 731-5877
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
9617 Church Ave
Brooklyn, NY 11212-2443
Mailing address
3315 Nostrand Ave Apt L1A
Brooklyn, NY 11229-3269
Other names 1
- Benjamin Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Rego Park, NY
- NPI 1144301425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641168000000",
"number": "1508417221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 NOSTRAND AVE APT L1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9617 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112122443",
"telephone_number": "718-925-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECONIC VISION BROWNSVILLE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-24",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A",
"authorized_official_last_name": "DASKAL",
"authorized_official_first_name": "PINCHES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-731-5877"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.