Individual provider Active NPI

Violetta Ushyarov-Satanovsky, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1184813719
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006440-1 Issued in NY
Practice address
1113 Ocean View Avenue
Brooklyn, NY 11235
Phone
(347) 528-9875
Fax
(347) 528-9875
NPI assigned
Oct 19, 2007
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006440-1 NY Primary

Addresses

Primary practice location

1113 Ocean View Avenue
Brooklyn, NY 11235

Mailing address

1113 Ocean View Ave
Brooklyn, NY 11235-5442
Phone (347) 528-9875

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
I20080103000550 NY Practitioner - Optometry 4688754625 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

9519 63Rd Dr
Rego Park, NY 11374-2024
Phone (718) 997-8185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006440-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boris Kapelnik OD P.C. Optometrist CurrentSince Jun 23, 2014 Accepting new patients
Eye See You Optical Optometrist Past Accepting new patients
Mega Vision Center II,LLC Optometrist Past Accepting new patients

Locations

6373 108th St
Forest Hills, NY 11375
Phone (718) 459-3145

9519 63rd Dr
Rego Park, NY 11374
Phone (718) 459-2020

Organizations & group practices 3

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1184813719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355442",
            "telephone_number": "347-528-9875",
            "fax_number": "347-528-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 OCEAN VIEW AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "347-528-9875",
            "fax_number": "347-528-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHYAROV-SATANOVSKY",
        "first_name": "VIOLETTA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006440-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.