Active NPI
Lucien Eyes Inc
- Optometrist
- Bellport, NY
National Provider Identifier
1548449788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006097TUV
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157939 | Other | NY | VYTRA |
| NY6097 | Other | NY | EYE MED |
| 7182561 | Other | NY | AETNA |
| 864 | Other | NY | VISION SCREENING |
| 163 | Other | NY | DAVIS CSEA |
| 1497 | Other | NY | GVS |
| 0547081490000 | Other | NY | CIGNA |
| 66599326 | Other | NY | GHI |
| 50593 | Other | NY | DAVIS |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Optometrist
- Bellport, NY
- NPI 1306969548
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.