Individual provider Active NPI

Andrey Kesler

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1093793143
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006710-1 Issued in NY
Practice address
7901 Bay Pkwy
Suite 1C
Brooklyn, NY 11214-1955
Phone
(718) 234-3558
Fax
(718) 234-3644
NPI assigned
Jan 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006710-1 NY Primary

Addresses

Primary practice location

7901 Bay Pkwy
Suite 1C
Brooklyn, NY 11214-1955

Mailing address

1086 Liberty Ave
Brooklyn, NY 11208-2923

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
I20040802001037 NY Practitioner - Optometry 7810968146 Practice locations: Brooklyn, NY; South Richmond Hill, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1086 Liberty Ave
Brooklyn, NY 11208-2923
Phone (718) 277-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006710-1NYMDOptometrist
006710NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gershkovich Medicine, PC Past Accepting new patients
Lensmasters II, Inc. Past Accepting new patients
Liberty Specs Optometrist Past Accepting new patients
Eyes on Liberty Optometrist Past Accepting new patients
Kolotsi NP Family Health PC PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1093793143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 LIBERTY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BAY PKWY",
            "address_2": "SUITE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141955",
            "telephone_number": "718-234-3558",
            "fax_number": "718-234-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLER",
        "first_name": "ANDREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-07",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006710-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.