New York Optical Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEW YORK OPTICAL GROUP INC

Practice address

1 E Kingsbridge Rd
Bronx, NY 10468-7501

Phone

(718) 550-2020

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Matilde Betancourt

Title

Owner

Phone

(718) 550-2020

Specialties & licenses 1

Addresses

Other names 1

• New York Optical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Thomas Raphael Dibenedetto, OD

  • Optometrist
  • Bronx, NY
  • NPI 1548885932
  Medicare reassignment NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1093408486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687501",
            "telephone_number": "718-550-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687501",
            "telephone_number": "718-550-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK OPTICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MATILDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-550-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New York Healthcare & Wellness LLC
• New York Institute for Special Education
• New York Institute of Health and Behavior
• New York Institute of Health and Behavior
• New York Neuroscience Institute PC
• New York Pain Management Group, PLLC
• New York Physical and Occupational Therapy, PLLC
• New York Precision Pain Management
• New York Psychotherapy LCSW P.C.
• New York Renal Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.