Organization Active NPI

Eyesmate Vision Care, Inc

  • Optometrist
  • Flushing, NY
National Provider Identifier
1528616620
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYESMATE VISION CARE, INC
Practice address
13335 41St Ave
Flushing, NY 11355-3630
Phone
(646) 675-8959
NPI assigned
Sep 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Yixing He, ODNPI 1760738074
Title
Optometrist
Phone
(347) 732-4889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13335 41St Ave
Flushing, NY 11355-3630

Mailing address

13335 41St Ave
Flushing, NY 11355-3630

Other identifiers 1

IdentifierTypeStateIssuer
03588263MedicaidNY

National Provider Directory

National Provider Directory

Locations

13335 41st Ave
Flushing, NY 11355
Phone (347) 732-4889

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": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1528616620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553630",
            "telephone_number": "646-675-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESMATE VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "YIXING",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-732-4889",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03588263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.