Broadway Vision Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROADWAY VISION GROUP INC

Practice address

3525 Broadway
New York, NY 10031-5627

Phone

(212) 368-2020

Fax

(212) 368-2029

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Alexander Goldshmidt

Title

President

Phone

(212) 368-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arielle Roberts

  • Optometrist
  • New York, NY
  • NPI 1376085761
  Medicare reassignment NPD
• Jessica Edward, OD

  • Optometrist
  • Brooklyn, NY
  • NPI 1578304671
  Medicare reassignment

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1083508683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100370982",
            "telephone_number": "212-368-2020",
            "fax_number": "212-368-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315627",
            "telephone_number": "212-368-2020",
            "fax_number": "212-368-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "GOLDSHMIDT",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-368-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Pharmacy III Inc
• Broadway Pharmacy Nyc Inc
• Broadway RX Enterprises Inc
• Broadway Vision 135 Inc
• Broadway Vision Center Inc.
• Broadway Vision Inc
• Dallas Broadway, M.D.
• Kelly Broady, MS, CGC
• Kerra Broaster
• Alexandra Broccoli

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.