Jack Eisner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2837 Issued in NY

Practice address

186 S Main St
New City, NY 10956-3318

Phone

(845) 634-0696

NPI assigned

Nov 24, 2006

Last updated

Mar 29, 2010By the provider in NPPES

Sex

Male

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

Specialty

Optometry

Education

New England College of Optometry, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Looking Good Optical, Inc.

  • Optometrist
  • New City, NY
  • NPI 1326234386
  Medicare reassignment NPD Authorized official
• Looking Good Eyewear LLC

  • Optometrist
  • New City, NY
  • NPI 1548056575
  NPD

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1639245483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563318",
            "telephone_number": "845-634-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563318",
            "telephone_number": "845-634-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "2837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebb and Flow Physical Therapy, PLLC
• Eckerson Pharmacy Corp. (Pharmaceutical Consultants)
• Donald Edelschick, M.D.
• David Joseph Ehrenberg
• Louis M Eisen, M.D.
• Eleni Vinieris D.M.D., P.C.
• Ashly Elias
• Monique Elie
• Nancie Eliscar, MA,MHC-LP
• Elite Home Care Services, Inc.

• Optometrist in New City, NY
• Providers in New City, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.