Active NPI
City Vision Care LLC
- Optometrist
- New York, NY
National Provider Identifier
1588032098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0005955T
- 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
- 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. Alysha Kim Jacobs, OD
- Title
- Optometrist
- Phone
- (917) 445-9566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0005955T | NY | Primary |
Addresses
Primary practice location
171 W 73Rd St
4
New York, NY 10023-2944
Mailing address
171 W 73Rd St
4
New York, NY 10023-2944
National Provider Directory
National Provider DirectoryLocations
55 W 137th St
New York, NY 10037
Phone (212) 962-7653
2177 Frederick Douglass Blvd
New York, NY 10026
Phone (212) 749-6575
95 S Broadway
#5
White Plains, NY 10601
Phone (914) 684-1980
NPI Registry JSON
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": []
}
Other providers in New York, NY
Sources for this page
- 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.