Individual provider Active NPI

Arthur Bukhatetsky, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1073712675
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007179 Issued in NY
Practice address
519 5TH Ave
Brooklyn, NY 11215-4807
Phone
(718) 768-1020
Fax
(718) 768-1050
NPI assigned
Jul 13, 2007
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007179 NY Primary

Addresses

Primary practice location

519 5TH Ave
Brooklyn, NY 11215-4807

Mailing address

519 5TH Ave
Brooklyn, NY 11215-4807
Phone (718) 768-1020

Other identifiers 1

IdentifierTypeStateIssuer
02892506MedicaidNY

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
I20071221000471 NY Practitioner - Optometry 8921198300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Arthur Bukhatetsky OD PLLCGroup PAC ID 0042336331, 6 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

519 5TH Ave
Brooklyn, NY 11215-7372
Phone (718) 768-1020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Sep 14, 2024 Accepting new patients
Seven Two Optics Corp. Optometrist PastSince Jun 15, 2013 Accepting new patients
Bensonhurst Family Vision Corp. Optometrist PastSince Jan 1, 1999 Accepting new patients
Vip Optical, Inc. PastSince Feb 9, 2010 Accepting new patients
Bensonhurst Family Vision Corp. Past Accepting new patients
Modern Physician Services PC Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 924-2232

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Interoperability endpoints

  • Direct secure messaging: abukhatetsky1253508@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1073712675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154807",
            "telephone_number": "718-768-1020",
            "fax_number": "718-768-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154807",
            "telephone_number": "718-768-1020",
            "fax_number": "718-768-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHATETSKY",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02892506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.