Organization Active NPI

Viola Kanevsky, O.D., P.L.L.C.

  • Optometrist
  • New York, NY
National Provider Identifier
1093852766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005443 Issued in NY
Legal business name
VIOLA KANEVSKY, O.D., P.L.L.C.
Practice address
527 Columbus Ave
New York, NY 10024-3402
Phone
(212) 580-2020
Fax
(212) 580-2023
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Viola Kanevsky, O.D.NPI 1417976598
Title
Sole Member
Phone
(212) 580-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005443 NY Primary

Addresses

Primary practice location

527 Columbus Ave
New York, NY 10024-3402

Mailing address

527 Columbus Ave
New York, NY 10024-3402
Phone (212) 580-2020

Other identifiers 6

IdentifierTypeStateIssuer
P674481OtherNYOXFORD PIN
TUV005443OtherNYHIP BILLING ID
1077649OtherNYCIGNA PIN
293690POtherNYHIP PROVIDER ID
5C5741OtherNYHEALTH NET PIN
462584OtherNYAETNA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000697 NY Part B Supplier - Clinic/Group Practice 6709988439 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

527 Columbus Ave
New York, NY 10024
Phone (212) 580-2020

65 Central Park W
Apt 1C
New York, NY 10023
Phone (212) 246-8772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093852766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243402",
            "telephone_number": "212-580-2020",
            "fax_number": "212-580-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243402",
            "telephone_number": "212-580-2020",
            "fax_number": "212-580-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLA KANEVSKY, O.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANEVSKY",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "212-580-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P674481",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP BILLING ID",
            "identifier": "TUV005443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "1077649",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER ID",
            "identifier": "293690P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET PIN",
            "identifier": "5C5741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "462584",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.