Individual provider Active NPI

Emika Ikegami Lewis, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1700565512
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009793-01 Issued in NY
Practice address
546 Nostrand Ave
Brooklyn, NY 11216-2013
Phone
(718) 230-0774
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV009793-01 NY
Optometrist 152W00000X TUV009793-01 NY Primary

Addresses

Primary practice location

546 Nostrand Ave
Brooklyn, NY 11216-2013

Mailing address

72 Willoughby St Apt 2E
Brooklyn, NY 11201-2826

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240229003905 NY Practitioner - Optometry 3476998303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

546 Nostrand Ave
Brooklyn, NY 11216-2013
Phone (718) 230-0774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009793-01NYMDCorneal and Contact Management Optometrist
009793NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Optical Inc Optometrist CurrentSince Aug 1, 2026 Accepting new patients
Fabulous Optical Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

546 Nostrand Ave
Brooklyn, NY 11216
Phone (718) 230-0774

544 Nostrand Ave
Brooklyn, NY 11216

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1700565512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WILLOUGHBY ST APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162013",
            "telephone_number": "718-230-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "EMIKA",
        "middle_name": "IKEGAMI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV009793-01",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009793-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.