Organization Active NPI

Bronx Family Eye Care Inc

  • Optometrist
  • Bronx, NY
National Provider Identifier
1235734773
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRONX FAMILY EYE CARE INC
Practice address
432 E 149TH St
Bronx, NY 10455-1343
Phone
(718) 673-9337
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Nikolay Bitsenko
Title
Owner
Phone
(917) 499-2292

Specialties & licenses 1

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

Addresses

Primary practice location

432 E 149TH St
Bronx, NY 10455-1343

Mailing address

2336 Grand Concourse
Bronx, NY 10458-6903
Phone (718) 220-0439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229000056 NY Part B Supplier - Clinic/Group Practice 3577864099 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: New York, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1235734773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586903",
            "telephone_number": "718-220-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551343",
            "telephone_number": "718-673-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "BITSENKO",
        "authorized_official_first_name": "NIKOLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-499-2292"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 2, 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.