Organization Active NPI

City Vision Care LLC

  • Optometrist
  • New York, NY
National Provider Identifier
1588032098
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.