Eyeconic Vision Si Llc is a medicare enrolled "Non-pharmacy Dispensing Site" provider in Staten Island, New York. Their current practice location is
1652 Richmond Ave, Staten Island, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 982-9602.
Eyeconic Vision Si Llc is licensed to practice in NU (license number ) and it also participates in the medicare program. Eyeconic Vision Si Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255200184.
Healthcare Provider's Profile
| Full Name | Eyeconic Vision Si Llc |
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| Type | Facility |
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| Speciality | Non-pharmacy Dispensing Site |
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| Location | 1652 Richmond Ave, Staten Island, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255200184
- Provider Enumeration Date: 10/30/2025
- Last Update Date: 10/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961989264
- Enrollment ID: O20260116001979
Medical Identifiers
Medical identifiers for Eyeconic Vision Si Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255200184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | (NU) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (NU) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Eyeconic Vision Si Llc acts as a billing entity for following providers:
| Provider Name | Syeda Safura Hussaini |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1902457112 PECOS PAC ID: 5991118432 Enrollment ID: I20201230002018 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eyeconic Vision Si Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Eyeconic Vision Si Llc 3315 Nostrand Ave Apt L1a, Brooklyn, NY 11229-3269 Ph: Not Available | Eyeconic Vision Si Llc 1652 Richmond Ave, Staten Island, NY 10314-1577 Ph: (718) 982-9602 |
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