Active NPI
Eye Emporium, Inc.
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1700867744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3805
- Legal business name
- EYE EMPORIUM, INC.
- Practice address
- 2334 Ralph Ave
Brooklyn, NY 11234-5515 - Phone
- (718) 531-0350
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephan B Haas
- Title
- Pres
- Phone
- (718) 531-0350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3805 | NY | Primary |
Addresses
Primary practice location
2334 Ralph Ave
Brooklyn, NY 11234-5515
Mailing address
2334 Ralph Ave
Brooklyn, NY 11234-5515
Phone (718) 531-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037979 | NY | DME Supplier - Optician | 9234028473 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
2334 Ralph Ave
Brooklyn, NY 11234
Phone (718) 531-0350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218499200000",
"number": "1700867744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345515",
"telephone_number": "718-531-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 RALPH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345515",
"telephone_number": "718-531-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE EMPORIUM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2008-08-12",
"status": "A",
"authorized_official_last_name": "HAAS",
"authorized_official_first_name": "STEPHAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "718-531-0350",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "3805",
"primary": true
}
],
"identifiers": [],
"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 Aug 12, 2008; 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.