Organization Active NPI

Staten Island Vision Eye Care, LLC

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1033646880
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STATEN ISLAND VISION EYE CARE, LLC
Practice address
2655 Richmond Ave
Suite 1430
Staten Island, NY 10314-5821
Phone
(718) 698-6666
NPI assigned
May 11, 2017
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Arthur Vayner, O.D.NPI 1619927472
Title
Optometrist
Phone
(718) 698-6666

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2655 Richmond Ave
Suite 1430
Staten Island, NY 10314-5821

Mailing address

246 Hylan Blvd
Staten Island, NY 10305-2063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423000885 NY Part B Supplier - Clinic/Group Practice 7315200599 Receives reassigned benefits from 6 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

246 Hylan Blvd
Staten Island, NY 10305

2655 Richmond Ave
Ste 1430
Staten Island, NY 10314
Phone (718) 698-6020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1033646880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RICHMOND AVE",
            "address_2": "SUITE 1430",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145821",
            "telephone_number": "718-698-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND VISION EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "VAYNER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-698-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.