Organization Active NPI

Perfect Vision Management ,Inc.

  • Ophthalmic Technician/Technologist
  • Brooklyn, NY
National Provider Identifier
1245301506
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
007466 Issued in NY
Legal business name
PERFECT VISION MANAGEMENT ,INC.
Practice address
120 Ditmas Ave
Brooklyn, NY 11218-5001
Phone
(347) 221-1422
Fax
(347) 221-1420
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Victoria Belyaeva
Title
Optician
Phone
(347) 221-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X 007466 NY Primary

Addresses

Primary practice location

120 Ditmas Ave
Brooklyn, NY 11218-5001

Mailing address

120 Ditmas Ave
Brooklyn, NY 11218-4902
Phone (347) 221-1422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000143 NY Part B Supplier - Clinic/Group Practice 0941282081 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

120 Ditmas Ave
Brooklyn, NY 11218
Phone (347) 221-1422

503 Ditmas Ave
Brooklyn, NY 11218
Phone (342) 221-1422

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1245301506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184902",
            "telephone_number": "347-221-1422",
            "fax_number": "347-221-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "347-221-1422",
            "fax_number": "347-221-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT VISION MANAGEMENT ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "BELYAEVA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "347-221-1422"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "007466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.