Shivani Tank, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009833 Issued in NY

Practice address

6806 Bay Pkwy
Brooklyn, NY 11204-5524

Phone

(718) 236-4352

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshivani@pamel.intellechartdirect.net

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.

• Gregory J Pamel MD PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1447405246
  Medicare reassignment NPD
• Sound Vision Care, Inc.

  dba Sound Vision Care

  • Eyewear Supplier
  • Riverhead, NY
  • NPI 1487809406

  Optometrist

  Medicare reassignment NPD
• SVC of Bensonhurst LLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1356095608
  Medicare reassignment NPD
• SVC of Forest Hills One LLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1861003352
  NPD
• Pamel Vision and Laser Group

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1790959674
  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1194402412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 HAWTHORNE DR S",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165541",
            "telephone_number": "586-258-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045524",
            "telephone_number": "718-236-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "SHIVANI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apoorva Tangri, MBBS
• Daniel Tanh
• Alesia Tanios, PT, DPT
• Jinnah Tanis
• Julian Tanjuakio, MD
• Shree Tank
• Niraj Tankaria
• Catherine Tanksley
• Pramodkumar Tanna, R.PH.
• Simran Tanna, MD

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.