Eye Design Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE DESIGN OPTICAL LLC

Practice address

1571 Westchester Ave
Bronx, NY 10472-2912

Phone

(347) 702-7874

Fax

(347) 702-7876

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Allan GugilevNPI 1376859462

Title

Owner

Phone

(347) 702-7874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Cammarata, OD

  • Optometrist
  • Bronx, NY
  • NPI 1093543944
  Medicare reassignment NPD
• Kristina Haidatov, OD

  • Optometrist
  • Oakland Gardens, NY
  • NPI 1811482102
  Medicare reassignment NPD
• Nathaniel Harooni, OD

  • Optometrist
  • Bronx, NY
  • NPI 1447956180
  Medicare reassignment NPD
• Samantha Osnis

  • Optometrist
  • Bronx, NY
  • NPI 1184506222
  Medicare reassignment NPD
• Isadora Ritter, O.D.

  • Optometrist
  • New York, NY
  • NPI 1548552110
  Medicare reassignment NPD
• Sijimol Sujoy, O.D.

  • Optometrist
  • Yonkers, NY
  • NPI 1902172513
  Medicare reassignment NPD
• Austin Matthew Ciaz White, OD

  • Optometrist
  • Bronx, NY
  • NPI 1528012333
  Medicare reassignment NPD
• Allan Gugilev

  • Optometrist
  • Brooklyn, NY
  • NPI 1376859462
  NPD Authorized official
• Nerry Lex Nayzov, O.D.

  • Optometrist
  • Oakland Gardens, NY
  • NPI 1467767970
  Medicare reassignment

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1942761002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "347-702-7874",
            "fax_number": "347-702-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "347-702-7874",
            "fax_number": "347-702-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DESIGN OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "GUGILEV",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-702-7874"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.