Individual provider Active NPI

Burt S Eschen, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1740357375
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003441-1 Issued in NY
Practice address
2821 Avenue U
Brooklyn, NY 11229-5053
Phone
(718) 648-0964
Fax
(718) 616-0575
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003441-1 NY Primary

Addresses

Primary practice location

2821 Avenue U
Brooklyn, NY 11229-5053

Mailing address

2821 Avenue U
Brooklyn, NY 11229-5053
Phone (718) 648-0964

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
I20100415000019 NY Practitioner - Optometry 6002943545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Ave U
Brooklyn, NY 11229-5053
Phone (718) 648-0964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003441NYMDMental Health Counselor
TUV003441-1NYMDOptometrist

Organizations & group practices 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1740357375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295053",
            "telephone_number": "718-648-0964",
            "fax_number": "718-616-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295053",
            "telephone_number": "718-648-0964",
            "fax_number": "718-616-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHEN",
        "first_name": "BURT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003441-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.