DR. LUCIENNE JACOB (NPI# 1760632673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760632673 |
| Entity Type | Individual |
| Full Name | DR. LUCIENNE JACOB |
| Credential | OD |
| Practice Address |
1619 Pitkin Ave Brooklyn NY 11212-5045 |
| Practice Telephone | 7183424300 |
| Practice Fax Number | 7185541553 |
| Mailing Telephone | 7183424300 |
| Mailing Fax Number | 7185541553 |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2012-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 007199 | NY | Eye and Vision Services Providers |
| Street Address |
1619 PITKIN AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690022 | Paul S Lee | Ophthalmology | 1619 Pitkin Ave, Brooklyn, NY 11212-5045 | 2005-06-22 |
| 1659803344 | Shades of Brooklyn | Eyewear Supplier (Equipment, not the service) | 1619 Pitkin Ave, Brooklyn, NY 11212-5045 | 2017-03-31 |
| 1871556456 | Marcien Pierre | Optometrist | 1619 Pitkin Ave, Brooklyn, NY 11212-5045 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1285242602 | Fenella Shneur | Optometrist | 4501 5th Ave, Brooklyn, NY 11220-1205 | 2020-07-22 |
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1497388920 | Nd Optometry Pllc | Optometrist | 453 Court St Ste 2b, Brooklyn, NY 11231-4595 | 2020-02-12 |
| 1376174953 | Allison Nguyen | Optometrist | 66 Patchen Ave Apt 5, Brooklyn, NY 11221-2867 | 2020-01-31 |
| 1023655883 | Nyc Optical Group LLC | Optometrist | 5623 5th Ave, Brooklyn, NY 11220-3414 | 2019-11-28 |
| 1518501840 | Esty Blatt | Optometrist | 1082 E 9th St, Brooklyn, NY 11230-4108 | 2019-10-30 |
| 1518500883 | Olesya Semchenkova Od PC | Optometrist | 3014 Brighton 6th St Fl 2nd, Brooklyn, NY 11235-6410 | 2019-10-19 |
| 1790328128 | Midwood Optical LLC | Optometrist | 1811 Avenue M, Brooklyn, NY 11230-5308 | 2019-10-17 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.