Organization Active NPI

Lucien Eyes Inc

  • Optometrist
  • Bellport, NY
National Provider Identifier
1548449788
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006097TUV Issued in NY
Legal business name
LUCIEN EYES INC
Practice address
5 Bellport LN
Bellport, NY 11713-2705
Phone
(631) 286-4014
Fax
(631) 286-2070
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Edward Deneve, O.D.
Title
President
Phone
(631) 286-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 006097TUV NY Primary

Addresses

Primary practice location

5 Bellport LN
Bellport, NY 11713-2705

Mailing address

5 Bellport LN
Bellport, NY 11713-2705
Phone (631) 286-4014

Other identifiers 9

IdentifierTypeStateIssuer
157939OtherNYVYTRA
NY6097OtherNYEYE MED
7182561OtherNYAETNA
864OtherNYVISION SCREENING
163OtherNYDAVIS CSEA
1497OtherNYGVS
0547081490000OtherNYCIGNA
66599326OtherNYGHI
50593OtherNYDAVIS

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1548449788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BELLPORT LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132705",
            "telephone_number": "631-286-4014",
            "fax_number": "631-286-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BELLPORT LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132705",
            "telephone_number": "631-286-4014",
            "fax_number": "631-286-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIEN EYES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "DENEVE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-286-4014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006097TUV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "157939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "NY6097",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7182561",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SCREENING",
            "identifier": "864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS CSEA",
            "identifier": "163",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GVS",
            "identifier": "1497",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0547081490000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "66599326",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "50593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.