Dr. Burt Eschen

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV003441-1 Issued in NY

Legal business name

DR. BURT ESCHEN

Practice address

2821 Avenue U
Brooklyn, NY 11229-5053

Phone

(718) 648-0964

Fax

(718) 616-0575

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Burt S. Eschen, OD

Title

Doctor Owner

Phone

(718) 648-0964

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1629272372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295053",
            "telephone_number": "718-648-0964",
            "fax_number": "718-616-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295053",
            "telephone_number": "718-648-0964",
            "fax_number": "718-616-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BURT ESCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "ESCHEN",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "718-648-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV003441-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.