NPIMap

Organization Active NPI

Eye Sparkle Optical Corporation

Doing business as Eye Appeal Optical

  • Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1952835167
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE SPARKLE OPTICAL CORPORATION
Doing business as
Eye Appeal Optical
Practice address
45 Eastdale Ave N Ste 102
Poughkeepsie, NY 12603-1796
Phone
(845) 471-7710
Fax
(845) 471-7746
NPI assigned
Apr 13, 2017
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Michelle NiemiecNPI 1982105037
Title
Ceo
Phone
(845) 471-7710

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU Primary
Low Vision Rehabilitation Optometrist 152WL0500X NU
Contact Lens Fitter 156FC0801X NU
Optician 156FX1800X NU

Addresses

Primary practice location

45 Eastdale Ave N Ste 102
Poughkeepsie, NY 12603-1796

Mailing address

45 Eastdale Ave N Ste 102
Poughkeepsie, NY 12603-1796
Phone (845) 471-7710

Other identifiers 1

IdentifierTypeStateIssuer
05210802MedicaidNY

Other names 1

  • Eye Appeal Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106001571 NY Part B Supplier - Clinic/Group Practice 5193081289 Receives reassigned benefits from 3 practitioners
Practice locations: Lagrangeville, NY

National Provider Directory

National Provider Directory

Locations

1097 Route 55
Ste 4
Lagrangeville, NY 12540
Phone (845) 471-7710

45 Eastdale Ave N
Ste 102
Poughkeepsie, NY 12603
Phone (845) 495-3070

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1952835167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EASTDALE AVE N STE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031796",
            "telephone_number": "845-471-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EASTDALE AVE N STE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031796",
            "telephone_number": "845-471-7710",
            "fax_number": "845-471-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPARKLE OPTICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "NIEMIEC",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-471-7710"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05210802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Appeal Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.