NPIMap

Organization Active NPI

Eyecare Unlimited, Inc.

  • Eyewear Supplier
  • Coram, NY
National Provider Identifier
1770755803
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV004022-1 Issued in NY
Legal business name
EYECARE UNLIMITED, INC.
Practice address
1850 Route 112
Suite L
Coram, NY 11727-2232
Phone
(631) 736-6161
Fax
(631) 736-1912
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Howard D Weinberg, O.D.NPI 1366528481
Title
President
Phone
(631) 736-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TUV004022-1 NY Primary

Addresses

Primary practice location

1850 Route 112
Suite L
Coram, NY 11727-2232

Mailing address

1850 Route 112
Suite L
Coram, NY 11727-2232
Phone (631) 736-6161

Other identifiers 1

IdentifierTypeStateIssuer
03082928MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1770755803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112",
            "address_2": "SUITE L",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-736-6161",
            "fax_number": "631-736-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROUTE 112",
            "address_2": "SUITE L",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272232",
            "telephone_number": "631-736-6161",
            "fax_number": "631-736-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-736-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV004022-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03082928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.