Individual provider Active NPI

Olesya Semchenkova, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1033371976
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007292-1 Issued in NY
Practice address
503 Ditmas Ave
Brooklyn, NY 11218-5001
Phone
(917) 607-3543
Fax
(347) 221-1420
NPI assigned
Jul 1, 2008
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007292-1 NY Primary

Addresses

Primary practice location

503 Ditmas Ave
Brooklyn, NY 11218-5001

Mailing address

2629 E 23Rd St
Apt # 1 G
Brooklyn, NY 11235-2847
Phone (917) 607-3543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000193 NY Practitioner - Optometry 3072678531 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlem Vision Inc.Group PAC ID 6901081892, 2 clinicians

Practice addresses (Care Compare)

120 Ditmas Ave
Brooklyn, NY 11218-4902
Phone (347) 221-1422

455 Lenox Ave
New York, NY 10037-3331
Phone (212) 368-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007292-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Vision Management ,Inc. CurrentSince Jan 1, 2013 Accepting new patients
Harlem Vision Inc. Optometrist CurrentSince Dec 24, 2024 Accepting new patients
Brooklyn Vision Center Inc Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Olesya Semchenkova OD PC Optometrist CurrentSince Oct 30, 2019 Accepting new patients
GVC Vision 1, Inc Optometrist CurrentSince Aug 21, 2023 Accepting new patients

Locations

120 Ditmas Ave
Brooklyn, NY 11218
Phone (347) 221-1422

1536 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 434-2222

1704 Church Ave
Brooklyn, NY 11226
Phone (718) 684-5000

3014 Brighton 6th St
Fl 2
Brooklyn, NY 11235
Phone (347) 587-7272

503 Ditmas Ave
Brooklyn, NY 11218
Phone (342) 221-1422

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1033371976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E 23RD ST",
            "address_2": "APT # 1 G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352847",
            "telephone_number": "917-607-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "917-607-3543",
            "fax_number": "347-221-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMCHENKOVA",
        "first_name": "OLESYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007292-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.