Individual provider Active NPI

Olive C Osborne, M.D.

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1144258146
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206441 Issued in NY
Practice address
2426 Eastchester Rd
Suite 203
Bronx, NY 10469-5916
Phone
(718) 708-7142
Fax
(347) 202-7161
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 206441 NY Primary

Addresses

Primary practice location

2426 Eastchester Rd
Suite 203
Bronx, NY 10469-5916

Mailing address

2426 Eastchester Rd
Suite 203
Bronx, NY 10469-5916
Phone (718) 708-7142

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001255 NY Practitioner - Ophthalmology 6002809985 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Warren Alpert Medical School of Brown University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Square Eye Center LLCGroup PAC ID 9133451438, 17 clinicians

Practice addresses (Care Compare)

1815 Madison Ave
New York, NY 10035-3826
Phone (212) 844-2020

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
83.72
Promoting interoperability
88
Improvement activities
40
Cost
96.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206441NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Square Eye Center LLC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Union Square Eye Care LLC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Maisel & Osborne MD PLLC Past Accepting new patients
Harooni & Sheindlin MD PC Past Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients
Louis M. Maisel, MD, PC Past Accepting new patients

Locations

32 Union Sq E
Fl 7
New York, NY 10003
Phone (212) 529-5100

1815 Madison Ave
New York, NY 10035

235 Park Ave S
Fl 2
New York, NY 10003
Phone (212) 614-0039

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14049/brand/10/csg/1/fhir/r4
  • Direct secure messaging: olive.osborne.1@14049.direct.athenahealth.com

Organizations & group practices 6

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1144258146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 EASTCHESTER RD",
            "address_2": "SUITE 203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695916",
            "telephone_number": "718-708-7142",
            "fax_number": "347-202-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 EASTCHESTER RD",
            "address_2": "SUITE 203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695916",
            "telephone_number": "718-708-7142",
            "fax_number": "347-202-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "OLIVE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.