OrganizationActive
Fresh Eyes Inc
NPI 1043496367 · Optometrist · Fresh Meadows, NY
Provider details
- NPI number
- 1043496367
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Gary Siegelbaum, President(718) 454-8484
- License
- TUV43351 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6130a 190th St
Fresh Meadows, NY 11365-2721
Phone: (718) 454-8484
Fax: (718) 454-8910
Street-level locationGet directions
Mailing address
6130a 190th St
Fresh Meadows, NY 11365-2721
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2008-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.