Active NPI
Brooklyn Vision Group Inc
- Optometrist
- Brooklyn, NY
National Provider Identifier
1093678187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BROOKLYN VISION GROUP INC
- Practice address
- 1536 Flatbush Ave
Brooklyn, NY 11210-2427 - Phone
- (718) 434-2222
- Fax
- (718) 576-6931
- NPI assigned
- Dec 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Vaysbaum
- Title
- President
- Phone
- (718) 434-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1536 Flatbush Ave
Brooklyn, NY 11210-2427
Mailing address
455 Lenox Ave
New York, NY 10037-0982
Phone (212) 368-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Brooklyn, NY
- NPI 1396223665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1093678187",
"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": "1536 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102427",
"telephone_number": "718-434-2222",
"fax_number": "718-576-6931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN VISION GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "VAYSBAUM",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-434-2222"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Brooklyn Urologic Health & Associates
- Brooklyn Urology P.C.
- Brooklyn Veterans Administration Medical Center
- Brooklyn Village Adult Day Care Center Inc
- Brooklyn Vision Center Inc
- Brooklyn Vista Site Eyecare Inc.
- Brooklyn Women'S Healthcare MDS PC
- Brooklyn Women'S Pavilllion OB/GYN, PLLC.
- Brooklyn Womens & Family Counseling Services LCSW PLLC
- Brooklyn Womens Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.