Wayne Tabachnick, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV002974 Issued in NY

Legal business name

WAYNE TABACHNICK, OD PC

Practice address

48 Graham Ave
Brooklyn, NY 11206-4002

Phone

(718) 388-7400

Fax

(718) 782-1548

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wayne N Tabachnick, O.D.

Title

President

Phone

(718) 388-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wayne Tabachnick OD PC

  • Optometrist
  • New York, NY
  • NPI 1386817609

  O20080828000272

  Same enrollment

Locations

Practitioners 3

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

• Charles Summer Chatman, O.D.

  • Optometrist
  • New York, NY
  • NPI 1437161619
  NPD
• Viktoriya Gutkevich, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1831171743
  NPD
• Buck Sverdlin, O.D.

  • Optometrist
  • Brooklyn, NY
  • NPI 1801149828
  NPD

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1144492497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VILLAS CIR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473061",
            "telephone_number": "631-420-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064002",
            "telephone_number": "718-388-7400",
            "fax_number": "718-782-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE TABACHNICK, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "TABACHNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-388-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Way Above ABA Mi LLC
• Way to Health Medical P.C.
• Way to Success Nyc Inc
• Wayne Advising Corporation
• Wayne Lavender PHD
• Tanya Marie Wayne-Houtz
• Deborah Wayne
• Michael G Wayne, D.O.
• Hersh Wazir, MD
• We Care Adult Daycare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.