Organization Active NPI

Wakefield Eye Care, PLLC

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1851541387
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
223811 Issued in NY
Legal business name
WAKEFIELD EYE CARE, PLLC
Practice address
1825 Nereid Ave
Bronx, NY 10466-1243
Phone
(718) 325-5466
Fax
(718) 325-5422
NPI assigned
Sep 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Authorized official

Name
Ihuoma U Alozie-Uddoh, M.D.NPI 1538266507
Title
Owner
Phone
(718) 325-5466

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 223811 NY Primary

Addresses

Primary practice location

1825 Nereid Ave
Bronx, NY 10466-1243

Mailing address

1825 Nereid Ave
Bronx, NY 10466-1243
Phone (718) 325-5466

Other identifiers 1

IdentifierTypeStateIssuer
02312485MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000633 NY Part B Supplier - Clinic/Group Practice 4880761444 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

1825 Nereid Ave
Bronx, NY 10466
Phone (718) 325-5466

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": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1851541387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NEREID AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661243",
            "telephone_number": "718-325-5466",
            "fax_number": "718-325-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NEREID AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661243",
            "telephone_number": "718-325-5466",
            "fax_number": "718-325-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "ALOZIE-UDDOH",
        "authorized_official_first_name": "IHUOMA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-325-5466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "223811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.