Active NPI
Absolute Eyecare Center LLC
- Optometrist
- Brooklyn, NY
National Provider Identifier
1053830901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007138
- Legal business name
- ABSOLUTE EYECARE CENTER LLC
- Practice address
- 922A Flatbush Ave
Brooklyn, NY 11226-4018 - Phone
- (718) 862-3655
- Fax
- (718) 862-3656
- NPI assigned
- Sep 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Boris Kapelnik, O.D.
- Title
- Optometrist
- Phone
- (847) 404-3764
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007138 | NY | Primary |
Addresses
Primary practice location
922A Flatbush Ave
Brooklyn, NY 11226-4018
Mailing address
187 Avenue U
Brooklyn, NY 11223-3741
Phone (718) 373-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02879716 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Forest Hills, NY
- NPI 1013963057
-
- Optometrist
- Brooklyn, NY
- NPI 1245057215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1053830901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233741",
"telephone_number": "718-373-2020",
"fax_number": "718-373-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922A FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264018",
"telephone_number": "718-862-3655",
"fax_number": "718-862-3656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE EYECARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-12",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "KAPELNIK",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "847-404-3764",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02879716",
"state": "NY"
}
],
"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 Jul 30, 2024; 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.