NPIMap

Organization Active NPI

Bronx Vision Group Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1184497240
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRONX VISION GROUP INC
Practice address
665 Pelham Pkwy N Ste. # 102
Bronx, NY 10467-8069
Phone
(718) 547-2020
Fax
(718) 547-3021
NPI assigned
Nov 1, 2023
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Yezenia Zapata, CREDENTIALER
Title
Biller
Phone
(347) 324-4207

Specialties & licenses 1

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

Addresses

Primary practice location

665 Pelham Pkwy N Ste. # 102
Bronx, NY 10467-8069

Mailing address

665 Pelham Pkwy N Ste. # 102
Bronx, NY 10467-8069
Phone (929) 579-0321

Other names 1

  • Bronx Vision Group Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205002563 NY Part B Supplier - Clinic/Group Practice 9133578933 Receives reassigned benefits from 12 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1184497240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N STE. # 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678069",
            "telephone_number": "929-579-0321",
            "fax_number": "208-955-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PELHAM PKWY N STE. # 102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678069",
            "telephone_number": "718-547-2020",
            "fax_number": "718-547-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX VISION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "YEZENIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "347-324-4207",
        "authorized_official_credential": "CREDENTIALER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronx Vision Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bronx Vision Group Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 23, 2024; 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.