Justin Lewis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008464 Issued in NY

Practice address

862 E Tremont Ave
Bronx, NY 10460-4201

Phone

(607) 425-5427

NPI assigned

Aug 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kings and Queens Optometry P.C.

  • Optometrist
  • New York, NY
  • NPI 1245940816
  Medicare reassignment NPD Authorized official
• Bronx Vision Center Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1952641821
  Medicare reassignment NPD
• Family Eye Center Inc

  • Optometrist
  • Rego Park, NY
  • NPI 1467836551
  Medicare reassignment

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1699229740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NEWTOWN AVE APT 5D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021330",
            "telephone_number": "607-425-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604201",
            "telephone_number": "607-425-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erroll Lewis
• Gail Lewis, RN
• Jacqueline Lewis
• Jamel A Lewis
• Jounell Althea Lewis, MS FNP-BC
• Katherine Lewis
• Kelly Lewis
• Keshia Marie Lewis, LMSW
• Kevin K Lewis, LMSW
• Laxton Lewis Jr.

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.