Individual provider Active NPI

Indigo Ensign, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1639740772
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009342-01 Issued in NY
Practice address
38 W Burnside Ave
Bronx, NY 10453-4019
Phone
(718) 280-1332
Fax
(718) 717-1441
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009342-01 NY Primary

Addresses

Primary practice location

38 W Burnside Ave
Bronx, NY 10453-4019

Mailing address

38 W Burnside Ave
Bronx, NY 10453-4019
Phone (718) 280-1332

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221020002394 NY Practitioner - Optometry 3274909957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 150617
Brooklyn, NY 11215-0617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009342-01NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkslope Eye Care, Inc Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Flatbush Eye Care Inc Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Eye Care Center, Inc Optometrist CurrentSince Sep 1, 2022 Accepting new patients
RS Eyes Inc Optometrist PastSince Oct 5, 2025 Accepting new patients

Locations

1054 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 223-5707

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1639740772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534019",
            "telephone_number": "718-280-1332",
            "fax_number": "718-717-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534019",
            "telephone_number": "718-280-1332",
            "fax_number": "718-717-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "INDIGO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009342-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.