Organization Active NPI

Unique Eye Optique LLC

  • Optometrist
  • Albertson, NY
National Provider Identifier
1922435577
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004046 Issued in NY
Legal business name
UNIQUE EYE OPTIQUE LLC
Practice address
175 I U Willets Rd
Albertson, NY 11507-1342
Phone
(516) 333-0222
Fax
(516) 333-0263
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Jerome Kramer, O.D.NPI 1437259637
Title
Owner
Phone
(516) 333-0222

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 TUV004046 NY Primary

Addresses

Primary practice location

175 I U Willets Rd
Albertson, NY 11507-1342

Mailing address

175 I U Willets Rd
Albertson, NY 11507-1342
Phone (516) 333-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000051 NY Part B Supplier - Clinic/Group Practice 6406097427 Receives reassigned benefits from 1 practitioner
Practice locations: Albertson, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2129958Unique Eye Optique LLC175 I U Willets Rd, Albertson, NY 11507Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

175 I U Willets Rd
Albertson, NY 11507
Phone (516) 333-0222

175 I U Willets Rd
Ste 1
Albertson, NY 11507
Phone (516) 333-0222

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": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1922435577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 I U WILLETS RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071342",
            "telephone_number": "516-333-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 I U WILLETS RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071342",
            "telephone_number": "516-333-0222",
            "fax_number": "516-333-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE EYE OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-333-0222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.