Individual provider Active NPI

Tatsiana Palavets, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1053973115
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008960 Issued in NY
Practice address
629 Eastern Pkwy
Brooklyn, NY 11213-3354
Phone
(718) 708-5360
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008960 NY Primary

Addresses

Primary practice location

629 Eastern Pkwy
Brooklyn, NY 11213-3354

Mailing address

2400 E 3Rd St Apt 327
Brooklyn, NY 11223-5302
Phone (917) 690-0561

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
I20200213001896 NY Practitioner - Optometry 8921434721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center Inc 107 clinicians
Vistasite Vision Center Inc. 2 clinicians

Practice addresses (Care Compare)

2315 3Rd Ave
New York, NY 10035-1733
Phone (212) 540-5020

665 W 181St St
New York, NY 10033-3877
Phone (212) 927-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008960NYMDMental Health Counselor
TUV008960NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Arthur O.D. M.S., PC Optometrist CurrentSince Dec 24, 2019 Accepting new patients
Century Medical & Dental Center Inc Single Specialty CurrentSince Feb 15, 2026 Accepting new patients
Vistasite Vision Center Inc. Optometrist CurrentSince Apr 16, 2022 Accepting new patients
Visual Ophthalmology Services, PC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Sight N Style Optical Optometrist PastSince Apr 16, 2022 Accepting new patients

Locations

425 Westchester Ave
Bronx, NY 10455
Phone (347) 343-0568

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

665 W 181st St
New York, NY 10033
Phone (212) 927-1000

2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566

6240 Forest Ave
Ridgewood, NY 11385
Phone (718) 418-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1053973115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E 3RD ST APT 327",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235302",
            "telephone_number": "917-690-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133354",
            "telephone_number": "718-708-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAVETS",
        "first_name": "TATSIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.