Grace Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

006830 Issued in NY

Legal business name

GRACE OPTICAL

Practice address

3409 Jerome Ave
Bronx, NY 10467-1049

Phone

(718) 231-9000

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Jiyoung Yoon, O.DNPI 1568482289

Title

Owner

Phone

(718) 231-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jiyoung Yoon, O.D

  • Optometrist
  • Bronx, NY
  • NPI 1568482289
  Medicare reassignment NPD Authorized official
• Fred Hamou, OPTICIAN

  • Optician
  • Bronx, NY
  • NPI 1639150097
  NPD (past)
• Mark E Jacobson, O.D

  • Optometrist
  • Bronx, NY
  • NPI 1992898100
  NPD (past)
• David Michael Kraus, O.D.

  • Optometrist
  • North Haven, CT
  • NPI 1982707238
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1114996840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671049",
            "telephone_number": "718-231-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671049",
            "telephone_number": "718-231-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JIYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-231-9000",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00327000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Grabisch, RD
• Ellen Wail Grabowitz, MD
• Grace Adwabour NP in Family Health and Psychiatry PLLC
• Grace Kim SLP LLC
• Grace Nurse Practitioner in Psychiatric Mental Health.P.C
• Grace Suh Mental Health Counseling, P.C
• Gracelife Family Health NP PC
• Alex Gracia, MD
• Philome J.H. Gracia, M.D.
• Graciebrutus Pharmacy Inc.

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.