Organization Active NPI

Bronxville Vision Care

  • Optometrist
  • Bronxville, NY
National Provider Identifier
1174835615
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRONXVILLE VISION CARE
Practice address
10 Park Place
Bronxville, NY 10708
Phone
(914) 949-8900
Fax
(914) 286-3042
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
John Dello Russo
Title
Owner
Phone
(914) 949-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10 Park Place
Bronxville, NY 10708

Mailing address

10 Park Place
Bronxville, NY 10708
Phone (914) 949-8900

National Provider Directory

National Provider Directory

Locations

10 Park Pl
Bronxville, NY 10708
Phone (914) 337-4440

Practitioners & affiliated clinicians

Practitioners 1

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": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1174835615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "10708",
            "telephone_number": "914-949-8900",
            "fax_number": "914-286-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "10708",
            "telephone_number": "914-949-8900",
            "fax_number": "914-286-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONXVILLE VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "DELLO RUSSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-949-8900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.