Organization Active NPI

Bronxville Eye Associates LLC

  • Ophthalmology Physician
  • Bronxville, NY
National Provider Identifier
1073094306
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2238941 Issued in NY
Legal business name
BRONXVILLE EYE ASSOCIATES LLC
Practice address
77 Pondfield Rd
Bronxville, NY 10708
Phone
(914) 337-8844
Fax
(914) 779-5544
NPI assigned
Aug 24, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Christopher Brown, MDNPI 1285650234
Title
Owner
Phone
(914) 337-8844

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
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 2238941 NY Primary

Addresses

Primary practice location

77 Pondfield Rd
Bronxville, NY 10708

Mailing address

77 Pondfield Rd
Bronxville, NY 10708-3809
Phone (914) 337-8844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313000133 NY Part B Supplier - Clinic/Group Practice 3274873112 Receives reassigned benefits from 4 practitioners
Practice locations: Bronxville, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: dlipson@bronxville.intellechartdirect.net
  • Direct secure messaging: cbrown@bronxville.intellechartdirect.net
  • Direct secure messaging: ngupta@bronxville.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1073094306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-337-8844",
            "fax_number": "914-779-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "10708",
            "telephone_number": "914-337-8844",
            "fax_number": "914-779-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-337-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2238941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.