Organization Active NPI

Underground Eyewear Inc

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1659325231
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004926 Issued in NY
Legal business name
UNDERGROUND EYEWEAR INC
Practice address
4815 Church Ave
Brooklyn, NY 11203-3301
Phone
(718) 282-8363
Fax
(718) 282-7630
NPI assigned
May 19, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Desmond Parkin, ODNPI 1164483673
Title
President
Phone
(718) 282-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004926 NY Primary

Addresses

Primary practice location

4815 Church Ave
Brooklyn, NY 11203-3301

Mailing address

4815 Church Ave
Brooklyn, NY 11203-3301
Phone (718) 282-8363

Other identifiers 1

IdentifierTypeStateIssuer
01765782MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090813000253 NY Part B Supplier - Clinic/Group Practice 7416001227 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

4815 Church Ave
Brooklyn, NY 11203
Phone (718) 282-8363

887 Utica Ave
Brooklyn, NY 11203
Phone (347) 372-2238

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1659325231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033301",
            "telephone_number": "718-282-8363",
            "fax_number": "718-282-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033301",
            "telephone_number": "718-282-8363",
            "fax_number": "718-282-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERGROUND EYEWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "PARKIN",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-282-8363",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.