Organization Active NPI

Empire Vision of Health Inc.

  • Optometrist
  • Valley Stream, NY
National Provider Identifier
1790466720
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EMPIRE VISION OF HEALTH INC.
Practice address
77 Green Acres Rd
Valley Stream, NY 11581-1008
Phone
(516) 612-0528
Fax
(516) 887-2565
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. Vaishali Nigam, ODNPI 1497985154
Title
President
Phone
(516) 776-8751

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

77 Green Acres Rd
Valley Stream, NY 11581-1008

Mailing address

45 Shelbourne LN
New Hyde Park, NY 11040-1038
Phone (516) 776-8751

Other practice location 1

6000 Brush Hollow Rd
Westbury, NY 11590-1702
Phone (516) 334-3143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029001101 NY Part B Supplier - Clinic/Group Practice 2668905795 Receives reassigned benefits from 2 practitioners
Practice locations: Valley Stream, NY; Westbury, NY

National Provider Directory

National Provider Directory

Locations

77 Green Acres Rd
Valley Stream, NY 11581
Phone (516) 612-0528

Practitioners & affiliated clinicians

Practitioners 2

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1790466720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHELBOURNE LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401038",
            "telephone_number": "516-776-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GREEN ACRES RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811008",
            "telephone_number": "516-612-0528",
            "fax_number": "516-887-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Brush Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115901702",
            "country_code": "US",
            "telephone_number": "516-334-3143",
            "fax_number": "516-334-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPIRE VISION OF HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NIGAM",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-776-8751",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.