Organization Active NPI

Swift Optometry Care PC

  • Optometrist
  • Tolland, CT
National Provider Identifier
1063753887
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SWIFT OPTOMETRY CARE PC
Practice address
26 Shenipsit Lake Rd
Tolland, CT 06084-2332
Phone
(212) 734-6621
NPI assigned
Mar 4, 2013
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Markiel Yakubov, ODNPI 1881957249
Title
President
Phone
(718) 534-0689

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 Primary

Addresses

Primary practice location

26 Shenipsit Lake Rd
Tolland, CT 06084-2332

Mailing address

250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Phone (212) 734-6621

Other practice location 1

305 Division Ave
Brooklyn, NY 11211
Phone (718) 964-6161

Other practice location 2

1216 5th Ave
Youngstown, OH 44504-1605
Phone (718) 534-0689

Other practice location 3

305 Division Ave
Brooklyn, NY 11211-7307
Phone (718) 964-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, GA, NJ, TX, MA, AR, OH, CT, FL, NH, VA, VT, MI, MD, MO, WI, ME18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20130806000524 NY Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 17 practitioners
Practice locations: New York, NY; St James, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20200819001404 PA Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 9 practitioners
Practice locations: Easton, PA
O20201202002113 GA Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 3 practitioners
Practice locations: Cartersville, GA
O20210315002103 NJ Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 2 practitioners
Practice locations: Cranford, NJ
O20210714003806 TX Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 7 practitioners
Practice locations: McAllen, TX; Mesquite, TX; Mineral Wells, TX; Pharr, TX; Plainview, TX; Rosenberg, TX; Rusk, TX; San Antonio, TX…
O20210831002951 MA Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 5 practitioners
Practice locations: Harwich, MA
O20211005003017 AR Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 5 practitioners
Practice locations: Batesville, AR
O20211007002836 OH Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 1 practitioner
Practice locations: Youngstown, OH
O20211129002249 CT Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 3 practitioners
Practice locations: Wallingford, CT
O20220303000088 FL Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 5 practitioners
Practice locations: North Miami Beach, FL
O20220330001115 NH Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester, NH
O20220404000073 VA Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 2 practitioners
Practice locations: Stuart, VA
O20220527001439 VT Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 5 practitioners
Practice locations: St Johnsbury, VT
O20220607000128 MI Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 3 practitioners
Practice locations: Harper Woods, MI
O20230107000023 MD Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 2 practitioners
Practice locations: Elkton, MD
O20240222000213 MO Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Park, MO
O20240708003605 WI Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Atkinson, WI
O20260217000069 ME Part B Supplier - Clinic/Group Practice 9739321670 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

385 E 149th St
Bronx, NY 10455
Phone (347) 385-2633

685 E Tremont Ave
Bronx, NY 10457

631 Foster Ave
Brooklyn, NY 11230
Phone (718) 369-8200

815 Peach St
Tomball, TX 77375
Phone (281) 351-5443

430 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-5533

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1063753887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218",
            "telephone_number": "212-734-6621",
            "fax_number": "516-430-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SHENIPSIT LAKE RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842332",
            "telephone_number": "212-734-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Division Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11211",
            "country_code": "US",
            "telephone_number": "718-964-6161",
            "fax_number": "516-430-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041605",
            "country_code": "US",
            "telephone_number": "718-534-0689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Division Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112117307",
            "country_code": "US",
            "telephone_number": "718-964-6161",
            "fax_number": "516-430-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWIFT OPTOMETRY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "MARKIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-534-0689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.