Organization Active NPI

NK Optometry PLLC

  • Optometrist
  • Bronx, NY
National Provider Identifier
1144778663
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008188-1 Issued in NY
Legal business name
NK OPTOMETRY PLLC
Practice address
233A E 149TH St
Bronx, NY 10451-1866
Phone
(732) 750-0400
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
John Nguyen, ODNPI 1598140931
Title
Co-Owner & Co-President
Phone
(732) 750-0400

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TUV008188-1 NY Primary

Addresses

Primary practice location

233A E 149TH St
Bronx, NY 10451-1866

Mailing address

233A E 149TH St
Bronx, NY 10451-1866

Other names 1

  • INSIGHT EYE ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308000629 NY Part B Supplier - Clinic/Group Practice 7719261916 Receives reassigned benefits from 7 practitioners
Practice locations: Bronx, NY; Brooklyn, NY; Corona, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

3539 Riverdale Ave
Bronx, NY 10463
Phone (718) 489-6290

1036 Westchester Ave
Bronx, NY 10459
Phone (646) 441-8181

326 7th St
Fl 2
Brooklyn, NY 11215
Phone (718) 489-6290

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1144778663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233A E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104511866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233A E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104511866",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CO-OWNER & CO-PRESIDENT",
        "authorized_official_telephone_number": "732-750-0400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008188-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSIGHT EYE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.