Organization Active NPI

Optometrika Inc.

  • Vision Therapy Optometrist
  • Astoria, NY
National Provider Identifier
1235358771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
VUT005640 Issued in NY
Legal business name
OPTOMETRIKA INC.
Practice address
3018 31St St
Astoria, NY 11102-1856
Phone
(718) 274-5575
Fax
(718) 274-9223
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maria AsprogerakasNPI 1861611436
Title
President
Phone
(718) 274-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X VUT005640 NY Primary

Addresses

Primary practice location

3018 31St St
Astoria, NY 11102-1856

Mailing address

3018 31St St
Astoria, NY 11102-1856
Phone (718) 274-5575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081205000625 NY Part B Supplier - Clinic/Group Practice 6800957093 Receives reassigned benefits from 1 practitioner
Practice locations: Astoria, NY

National Provider Directory

National Provider Directory

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235358771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021856",
            "telephone_number": "718-274-5575",
            "fax_number": "718-274-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021856",
            "telephone_number": "718-274-5575",
            "fax_number": "718-274-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIKA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASPROGERAKAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-274-5575",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "VUT005640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.