NPIMap

Organization Active NPI

Shades of Brooklyn

  • Eyewear Supplier
  • Brooklyn, NY
National Provider Identifier
1659803344
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SHADES OF BROOKLYN
Practice address
1619 Pitkin Ave
Brooklyn, NY 11212-5045
Phone
(718) 342-4300
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Dr. Marcien PierreNPI 1871556456
Title
Owner
Phone
(718) 342-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1619 Pitkin Ave
Brooklyn, NY 11212-5045

Mailing address

1619 Pitkin Ave
Brooklyn, NY 11212-5045
Phone (718) 342-4300

Other identifiers 1

IdentifierTypeStateIssuer
01092213MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1659803344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125045",
            "telephone_number": "718-342-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125045",
            "telephone_number": "718-342-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF BROOKLYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "MARCIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-342-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01092213",
            "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 31, 2017; 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.