Organization Active NPI

Eyeconic Vision Brownsville Inc

  • Non-Pharmacy Dispensing Site
  • Brooklyn, NY
National Provider Identifier
1508417221
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
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

Updated by the provider on Jan 3, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219001337 NY Part B Supplier - Clinic/Group Practice 8123452430 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.