Active NPI
Edward Ruvio, OD
- Optometrist
- New York, NY
National Provider Identifier
1093852584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4707
- Practice address
- 79 Nassau St
New York, NY 10038-3704 - Phone
- (212) 349-1313
- Fax
- (212) 608-6805
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4707 | NY | Primary |
Addresses
Primary practice location
79 Nassau St
New York, NY 10038-3704
Mailing address
1201 Estates LN
Bayside, NY 11360-1141
Phone (212) 349-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4707 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093852584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ESTATES LN",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601141",
"telephone_number": "212-349-1313",
"fax_number": "212-608-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 NASSAU ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383704",
"telephone_number": "212-349-1313",
"fax_number": "212-608-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUVIO",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "4707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.