Organization Active NPI

Eyed Park Slope

Doing business as Eye D Vision

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1528889979
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYED PARK SLOPE
Doing business as
Eye D Vision
Practice address
361 5TH Ave
Brooklyn, NY 11215-8139
Phone
(347) 353-1261
Fax
(347) 354-6711
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Dr. Diana Nguyen, ODNPI 1831352137
Title
Optometrist
Phone
(347) 353-1261

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

361 5TH Ave
Brooklyn, NY 11215-8139

Mailing address

361 5TH Ave
Brooklyn, NY 11215-8139
Phone (347) 353-1261

Other names 1

  • EYE D VISION Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1528889979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158139",
            "telephone_number": "347-353-1261",
            "fax_number": "347-354-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112158139",
            "telephone_number": "347-353-1261",
            "fax_number": "347-354-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYED PARK SLOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "347-353-1261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE D VISION",
            "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 Oct 18, 2024; 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.