Active NPI
Jessy James Vaidhyan, O.D
- Optometrist
- New York, NY
National Provider Identifier
1750526091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007380-1
- Practice address
- 50 E 42ND St
New York, NY 10017-5405 - Phone
- (212) 697-1838
- Fax
- (212) 697-0323
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4704 | MA | |
| Optometrist | 152W00000X | TUV007380-1 | NY | Primary |
Addresses
Primary practice location
50 E 42ND St
New York, NY 10017-5405
Mailing address
114 Hillwood LN
Plainview, NY 11803-3120
Phone (617) 512-0566
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704 | MA | MD | Mental Health Counselor |
| 007380 | NY | MD | Registered Dietitian |
| TUV007380-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients |
Locations
600 Old Country Rd
Garden City, NY 11530
Phone (516) 745-6564
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
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": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1750526091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 HILLWOOD LN",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033120",
"telephone_number": "617-512-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175405",
"telephone_number": "212-697-1838",
"fax_number": "212-697-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIDHYAN",
"first_name": "JESSY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4704",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007380-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.