Louisemene Dubourg, OPTICAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

55 009252 Issued in NY

Practice address

1480 Fulton St
1St Floor
Brooklyn, NY 11216-2505

Phone

(646) 346-3382

NPI assigned

Nov 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351987200000",
    "number": "1689928293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 FULTON ST",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162505",
            "telephone_number": "646-346-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 FULTON ST",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162505",
            "telephone_number": "646-346-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOURG",
        "first_name": "LOUISEMENE",
        "credential": "OPTICAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2012-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT5575",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "55 009252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD, AETNA, KAISER-PERMANENTE,DAVIS VISION, HEALTH FIRST.",
            "identifier": "900883361",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900883361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jheny Dubois
• Andrew Ramos Dubongco, AGPCNP-BC
• Betty Dubose
• Jada Dubose, PT, DPT
• Lorraine Dubouchet, PA-C
• Marcus Dubouzet, PT
• Yelena Dubovaya, PHARM. D.
• Menachem Dubovick
• Sara F. Dubovick, LCSW
• Jerome M Dubroff, M.D.

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; 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.