Organization Active NPI

Wilzen Anne Lingad O.D., PLLC

  • Optometrist
  • Long Island City, NY
National Provider Identifier
1538772157
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WILZEN ANNE LINGAD O.D., PLLC
Doing business as
Bridges Eyecare
Practice address
4117 Crescent St
Long Island City, NY 11101-3861
Phone
(718) 786-5892
Fax
(929) 273-1044
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Dr. Wilzen A Lingad, OD
Title
Owner
Phone
(917) 675-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4117 Crescent St
Long Island City, NY 11101-3861

Mailing address

386 Warren St Apt 2L
Brooklyn, NY 11201-6524

Other names 1

  • Bridges Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110000618 NY Part B Supplier - Clinic/Group Practice 3971913500 Receives reassigned benefits from 1 practitioner
Practice locations: Long Island City, 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": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1538772157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 WARREN ST APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 CRESCENT ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013861",
            "telephone_number": "718-786-5892",
            "fax_number": "929-273-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILZEN ANNE LINGAD O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "LINGAD",
        "authorized_official_first_name": "WILZEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-675-2263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.