Individual provider Active NPI

Frederic K Nevins, OD

  • Corneal and Contact Management Optometrist
  • New York, NY
National Provider Identifier
1093827461
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
003280 Issued in NY
Practice address
22 W 13TH St
New York, NY 10011-7902
Phone
(212) 807-0019
Fax
(212) 727-2395
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 003280 NY Primary

Addresses

Primary practice location

22 W 13TH St
New York, NY 10011-7902

Mailing address

22 W 13TH St
New York, NY 10011-7902
Phone (212) 807-0019

Other identifiers 7

IdentifierTypeStateIssuer
201720POtherNYHIP
00330025MedicaidNY
110684OtherNYEYEMED
56329OtherNYAETNA
P673941OtherNYOXFORD
1C7757OtherNYHEALTHNET
0035445OtherNYGHI

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
I20070409000356 NY Practitioner - Optometry 4587768114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Vision Optometry PLLCGroup PAC ID 0345417283, 6 clinicians

Practice addresses (Care Compare)

22 W 13TH St
New York, NY 10011-7902
Phone (212) 807-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003280NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Vision Optometry PLLC Corneal and Contact Management CurrentSince Jul 9, 2001 Accepting new patients

Locations

22 W 13th St
New York, NY 10011
Phone (212) 807-0019

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1093827461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117902",
            "telephone_number": "212-807-0019",
            "fax_number": "212-727-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117902",
            "telephone_number": "212-807-0019",
            "fax_number": "212-727-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "FREDERIC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "003280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "201720P",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330025",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "110684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "56329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P673941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1C7757",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0035445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.