City Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0005955T Issued in NY

Legal business name

CITY VISION CARE LLC

Practice address

171 W 73Rd St
4
New York, NY 10023-2944

Phone

(917) 445-9566

NPI assigned

Sep 14, 2015

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alysha Kim Jacobs, ODNPI 1225000581

Title

Optometrist

Phone

(917) 445-9566

Specialties & licenses 1

Addresses

Locations

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.

• Alysha Jacobs

  • Optometrist
  • New York, NY
  • NPI 1225000581
  Authorized official Same address or phone

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1588032098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W 73RD ST",
            "address_2": "4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W 73RD ST",
            "address_2": "4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232944",
            "telephone_number": "917-445-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ALYSHA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "917-445-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0005955T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Citydrug & Surgical Inc
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• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.