Individual provider Active NPI

Galina Benimovich, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1184763351
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006451 Issued in NY
Practice address
1371 Coney Island Ave
Brooklyn, NY 11230-4119
Phone
(718) 253-9328
NPI assigned
Feb 5, 2007
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006451 NY Primary

Addresses

Primary practice location

1371 Coney Island Ave
Brooklyn, NY 11230-4119

Mailing address

3415 Guider Ave
#3A
Brooklyn, NY 11235-5281

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
I20040712000141 NY Practitioner - Optometry 3678551165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9516 Church Ave
Brooklyn, NY 11212-2434
Phone (718) 495-8801

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006451NYMDOptometrist
006451NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye-X Optometrist Current Accepting new patients
Clear Vision Optometry PC Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Sunrx Optical Inc PastSince Mar 7, 2005 Accepting new patients
Optical Warehouse Outlet of Williamsburg Optometrist Past Accepting new patients
A&G Vision Inc Past Accepting new patients
Eye See You Optical Optometrist Past Accepting new patients
A & G Vision Inc. Optometrist Past Accepting new patients

Locations

2849 W 8th St
Brooklyn, NY 11224
Phone (718) 265-1100

9516 Church Ave
Brooklyn, NY 11212
Phone (718) 495-8801

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1184763351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 GUIDER AVE",
            "address_2": "#3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304119",
            "telephone_number": "718-253-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIMOVICH",
        "first_name": "GALINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.