Organization Active NPI

3 Visions Ophthalmology P.C.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1003078718
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
212050 Issued in NY
Legal business name
3 VISIONS OPHTHALMOLOGY P.C.
Practice address
117 Decatur St
Suite 1
Brooklyn, NY 11216-2513
Phone
(718) 455-2295
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Rondai Evans, M.D.NPI 1295744357
Title
Pres
Phone
(718) 455-2295

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 212050 NY Primary

Addresses

Primary practice location

117 Decatur St
Suite 1
Brooklyn, NY 11216-2513

Mailing address

117 Decatur St
Suite 1
Brooklyn, NY 11216-2513
Phone (718) 455-2295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000558 NY Part B Supplier - Clinic/Group Practice 5092705517 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

9425 60th Ave
Ste B4
Elmhurst, NY 11373
Phone (718) 280-9092

9442 60th Ave
#A2
Flushing, NY 11373
Phone (718) 455-2295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1003078718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DECATUR ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162513",
            "telephone_number": "718-455-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DECATUR ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162513",
            "telephone_number": "718-455-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 VISIONS OPHTHALMOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RONDAI",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-455-2295",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "212050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.