Organization Active NPI

Eyes on Island Inc.

  • Optician
  • Staten Island, NY
National Provider Identifier
1659429850
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
7918 Issued in NY
Legal business name
EYES ON ISLAND INC.
Practice address
150 Greaves LN
D
Staten Island, NY 10308-2173
Phone
(718) 948-1353
Fax
(718) 948-1353
NPI assigned
Jan 7, 2007
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Ms. Elena RaikhertNPI 1639235591
Title
Owner
Phone
(718) 948-1353

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 7918 NY Primary

Addresses

Primary practice location

150 Greaves LN
D
Staten Island, NY 10308-2173

Mailing address

150 Greaves LN
D
Staten Island, NY 10308-2173
Phone (718) 948-1353

Other identifiers 1

IdentifierTypeStateIssuer
02354763MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041005001198 NY Part B Supplier - Clinic/Group Practice 7012976178 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY
O20240510000873 NY DME Supplier - Physician - Optometrist 7012976178 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyes on Island Inc150 Greaves LN, Staten Island, NY 10308-2173(718) 948-1353 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 31, 2013

National Provider Directory

National Provider Directory

Locations

150 Greaves Ln
Ste D
Staten Island, NY 10308
Phone (718) 948-1353

Practitioners & affiliated clinicians

Practitioners 3

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1659429850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GREAVES LN",
            "address_2": "D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082173",
            "telephone_number": "718-948-1353",
            "fax_number": "718-948-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GREAVES LN",
            "address_2": "D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082173",
            "telephone_number": "718-948-1353",
            "fax_number": "718-948-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON ISLAND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "RAIKHERT",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-948-1353",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "7918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02354763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.