Sergio Cisneros, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0009594 Issued in NY

Practice address

11915 Atlantic Ave
Richmond Hill, NY 11418-3216

Phone

(718) 805-0700

Fax

(718) 805-5621

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Merit-based Incentive Payment System (MIPS)

Final score

82.83 of 100Reported as group

Quality

85

Promoting interoperability

94

Improvement activities

40

Cost

62.77

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bronx Vista Inc

  • Optometrist
  • Bronx, NY
  • NPI 1689044067
  Medicare reassignment NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660

  Multi-Specialty

  Medicare reassignment NPD
• Socialeyes Ny Corp

  • Optometrist
  • New York, NY
  • NPI 1093531709
  Medicare reassignment NPD
• Vista on 3Rd Inc.

  • Optometrist
  • Bronx, NY
  • NPI 1144878778
  Medicare reassignment NPD
• Socialeyes Ny Corp

  • Optometrist
  • Bronx, NY
  • NPI 1801784269
  NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1245271600

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1174257521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 ATLANTIC AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183216",
            "telephone_number": "718-805-0570",
            "fax_number": "718-805-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ATLANTIC AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183216",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 Wyckoff Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112375389",
            "country_code": "US",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Murray St Ste Bsmt",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100072212",
            "country_code": "US",
            "telephone_number": "212-243-2300",
            "fax_number": "718-805-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "SERGIO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0009594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ylopez@nyvisiongroup.com",
            "affiliation": "N",
            "address_1": "11915 Atlantic Ave",
            "city": "Richmond Hill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114183216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ylopez@nyvisiongroup.com",
            "affiliation": "Y",
            "affiliationName": "Harry Robert Maximilan Koster, MD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11915 Atlantic Ave",
            "city": "Richmond Hill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114183216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meryl Phyllis Saaredra Chua
• Inessa Chulpayeva
• Madeline Ciardi, DPT
• Joseph Anthony Cilento III, MD
• Allandel Barredo Cipriano
• Helen Melissa Henao Cobo
• Francis Paola-Ortega Cobrado
• Debra Patricia Coggins, OT
• Nancy Ellen Cohan, LMFT
• Aharon Cohen

• Optometrist in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.