Joanne Econopouly, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT006061 Issued in NY

Practice address

9001 Roosevelt Ave
Jackson Heights, NY 11372-7938

Phone

(718) 458-9761

Fax

(718) 424-3366

NPI assigned

Mar 20, 2007

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cosmos Total Optometry Care PLLC

  • Optometrist
  • Jackson Heights, NY
  • NPI 1184996001
  Medicare reassignment NPD Authorized official
• Cosmos Total Optometry Care PLLC

  dba Cosmos Eye Care

  • Optometrist
  • Jackson Heights, NY
  • NPI 1902044829
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1609991645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-458-8500",
            "fax_number": "718-424-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727938",
            "telephone_number": "718-458-9761",
            "fax_number": "718-424-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOPOULY",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Easy Care Queens Medical, PC
• Susanna Eckblad, LCSW
• Carl Eden, R-L.C.S.W.
• Justina Edwards, MSW
• Mauricio Eguez
• Elena Jenkins Acupuncture PLLC
• Mohamed Yosri Elfahham, PT

• Optometrist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.