NPIMap

Organization Active NPI

Kips Bay Optical LTD

  • Optometrist
  • New York, NY
National Provider Identifier
1699963769
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003290-1 Issued in NY
Legal business name
KIPS BAY OPTICAL LTD
Practice address
608 2ND Ave
New York, NY 10016-4859
Phone
(212) 686-1653
Fax
(212) 686-1654
NPI assigned
Oct 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Michael Talone, ODNPI 1023006202
Title
President
Phone
(814) 234-2015

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 TUV003290-1 NY Primary

Addresses

Primary practice location

608 2ND Ave
New York, NY 10016-4859

Mailing address

608 2ND Ave
New York, NY 10016-4859
Phone (212) 686-1653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011002542 NY Part B Supplier - Clinic/Group Practice 5597110502 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

608 2nd Ave
New York, NY 10016
Phone (212) 686-1653

Practitioners & affiliated clinicians

Practitioners 8

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": "1192233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1699963769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164859",
            "telephone_number": "212-686-1653",
            "fax_number": "212-686-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164859",
            "telephone_number": "212-686-1653",
            "fax_number": "212-686-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPS BAY OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-13",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "TALONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-234-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.