Eye Glass Works, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004377-1 Issued in NY

Legal business name

EYE GLASS WORKS, INC

Doing business as

Vision City

Practice address

1433 Route 300
Suite 108
Newburgh, NY 12550-2910

Phone

(845) 561-0305

Fax

(845) 561-9041

NPI assigned

Dec 18, 2007

Last updated

Dec 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael AccetturaNPI 1902885387

Title

President

Phone

(845) 561-0305

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VISION CITY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Joseph Accettura, O.D

  • Optometrist
  • Newburgh, NY
  • NPI 1902885387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1730363433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 ROUTE 300",
            "address_2": "SUITE 108",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502910",
            "telephone_number": "845-561-0305",
            "fax_number": "845-561-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 ROUTE 300",
            "address_2": "SUITE 108",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502910",
            "telephone_number": "845-561-0305",
            "fax_number": "845-561-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GLASS WORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ACCETTURA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-561-0305",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004377-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherrell Evans-Tillery
• Kara Elizabeth Evans
• Tammy Marie Evans
• Evercare Choice, Inc. (EverCare at Home)
• Evercare Choice, Inc.
• Jennifer Joy Fagan, COTA
• Tarinah Joy Faircloth-Chin
• Johaunna Faison
• Wael Fakhoury, MD
• Family Medical Care PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.