Organization Active NPI

Eyesonsah LLC

  • Optometrist
  • Hauppauge, NY
National Provider Identifier
1730827585
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYESONSAH LLC
Practice address
812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949
Phone
(631) 750-7051
Fax
(631) 246-0935
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Irina Schawaroch, ODNPI 1770846990
Title
Owner
Phone
(631) 750-7051

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 Primary

Addresses

Primary practice location

812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949

Mailing address

812 Wheeler Rd Ste 106
Hauppauge, NY 11788-2949
Phone (631) 750-7051

Other names 1

  • Aspects Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220701000440 NY Part B Supplier - Clinic/Group Practice 3476933862 Receives reassigned benefits from 1 practitioner
Practice locations: Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

812 Wheeler Rd
Ste 106
Hauppauge, NY 11788
Phone (631) 750-7051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1730827585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882949",
            "telephone_number": "631-750-7051",
            "fax_number": "631-246-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 WHEELER RD STE 106",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882949",
            "telephone_number": "631-750-7051",
            "fax_number": "631-246-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESONSAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHAWAROCH",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-750-7051",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspects Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.