Active NPI
Marcien Pierre, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1871556456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004928
- Practice address
- 1619 Pitkin Ave
Brooklyn, NY 11212-5045 - Phone
- (718) 342-4300
- Fax
- (347) 350-6601
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004928 | NY | Primary |
Addresses
Primary practice location
1619 Pitkin Ave
Brooklyn, NY 11212-5045
Mailing address
263 Maryland Ave
Freeport, NY 11520-1014
Phone (516) 841-7238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001092213 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825001066 | NY | Practitioner - Optometry | 5496879561 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004928 | NY | MD | Psychologist |
| TUV004928 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1871556456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 MARYLAND AVE",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115201014",
"telephone_number": "516-841-7238",
"fax_number": "718-554-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112125045",
"telephone_number": "718-342-4300",
"fax_number": "347-350-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE",
"first_name": "MARCIEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001092213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.