Individual provider Active NPI

Samuel Uba Munonyedi, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1952357527
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T006276 Issued in NY
Practice address
847 Franklin Ave
Brooklyn, NY 11225-1338
Phone
(718) 604-1002
Fax
(718) 604-1027
NPI assigned
May 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T006276 NY Primary
Optometrist 152W00000X 27OA00579100 NJ

Addresses

Primary practice location

847 Franklin Ave
Brooklyn, NY 11225-1338

Mailing address

1588 Remsen Ave
Brooklyn, NY 11236-5214
Phone (718) 604-1002

Other identifiers 3

IdentifierTypeStateIssuer
52937OtherNYDAVIS VISION
925287OtherNYBLOCKVISION
02079638MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000865 NY Practitioner - Optometry 9931119534 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 Green Acres Mall
Valley Stream, NY 11581-1536
Phone (516) 825-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00579100NJMDOptometrist
T006276NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Eye Care LLC CurrentSince Sep 18, 2018 Accepting new patients
East West Opticians Past Accepting new patients

Locations

327 Utica Ave
Brooklyn, NY 11213
Phone (718) 483-8158

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952357527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365214",
            "telephone_number": "718-604-1002",
            "fax_number": "718-604-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 FRANKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251338",
            "telephone_number": "718-604-1002",
            "fax_number": "718-604-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNONYEDI",
        "first_name": "SAMUEL",
        "middle_name": "UBA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006276",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00579100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52937",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCKVISION",
            "identifier": "925287",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02079638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.