Individual provider Active NPI

Daniel Ruvio, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1154468650
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003784 Issued in NY
Practice address
249 E 86TH St
New York, NY 10028-3115
Phone
(212) 717-2780
Fax
(212) 717-2782
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003784 NY Primary

Addresses

Primary practice location

249 E 86TH St
New York, NY 10028-3115

Mailing address

249 E 86TH St
New York, NY 10028-3115
Phone (212) 717-2780

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730001732 NY Practitioner - Optometry 5698904001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003784NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Vision Holdings, Inc. Optometrist PastSince Dec 22, 2013 Accepting new patients

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1154468650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283115",
            "telephone_number": "212-717-2780",
            "fax_number": "212-717-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283115",
            "telephone_number": "212-717-2780",
            "fax_number": "212-717-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVIO",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.